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Form  11-s.  H.  c. 


STATE  OF  NEW  YORK 


HANDBOOK 


STATE  HOSPITAL  COMMISSION 


HOSPITALS  FOR  THE  INSANE 


1920 


STATE  HOSPITALS  PRESS 
UTICA,  N.  Y. 


DIRECTORY 

BUREAU    OF   STATISTICS      . 

HORATIO  M.  POLLOCK,  Ph.  D. 
Statistician  and  Editor 

ALBANY 
Telephone,  West  215- W 

WILLIAM  J.  NOLAN,  A.  M. 

Assistant  Statistician 
ALBANY 

BUREAU  OF  TREASURER 

LEWIS  M.  FARRINGTON 

Assistant  Secretary  and  Treasurer 

ALBANY 


. 


COLLECTIONS    BUREAU 

HERBERT  B.  GRUBER,  Counsel 
Residence,  84  Willet  Street 

ALBANY 
Telephone,  West  3965 


INSPECTORS 

J.  L.  VAN  DEMARK,  M.  D., 

Medical  Inspector 
Residence,  464  Hudson  Avenue 

ALBANY 
Telephone,  West  1387-W 

CHARLES  B.  Dix,  M.  E. 

Inspector  of  Buildings  and  Engineering 
GLENS  FALLS 

JOHN  T.  NORTON 
Inspector  of  Dairy  Products 

Residence,  3675  Broadway,  NEW  YORK  CITY 
Telephone,  Audubon  4213 

Office,  90  West  Broadway,  NEW  YORK  CITY 
Telephone,  Barclay  4938 

JOHN  J.  RILEY,  Inspector 

ALBANY 
Telephone,  West  704-J 


DIRECTORY 
PURCHASING  COMMITTEE  FOR  STATE  HOSPITALS 

Dr.  EUGENE  H.  HOWARD,  Chairman, 

Superintendent,  Rochester  State  Hospital 

Dr.  ISHAM  G.  HARRIS, 

Superintendent,  Brooklyn  State  Hospital 

Dr.  MARCUS  B.  HEYMAN, 

Superintendent,  Manhattan  State  Hospital 

GEORGE  P.  WATSON, 

Steward,  Gowanda  State  Homeopathic  Hospital 

GEORGE  R.  FINTON, 

Steward,  Hudson  River  State  Hospital 

T.  E.  McGARR,  Executive 

Room  138  Capitol 
Telephone,  Main  5910 


NEW  YORK  OFFICE 

Hall  of  Records,  Chambers  and  Centre  Streets 

NEW  YORK  CITY 
Telephone,  Worth  4424 


BUREAU  OF  DEPORTATION 

SPENCER  L.  DAWES,  M.  D.,  Medical  Examiner 
Telephone,  Worth  4337 

ELBERT  M.  SOMERS,  M.  D.,  Deputy  Medical  Examiner 


COLLECTIONS    BUREAU 

R.  J.  CORCORAN,  Special  Agent 
Telephone,  Worth  4424 


6  DIRECTORY 

PSYCHIATRIC    INSTITUTE 

OF  THE  NEW  YORK  STATE  HOSPITALS 

Ward's  Island,  New  York  City 

GEORGE  H.  KIRBY,  M.  D.,      -t  Director 

CLARENCE  O.  CHENEY,  M.  D.,    -  Assistant  Director 

CHARLES  B.  DUNLAP,  M.  D.,  Chief  Associate  in  Neuropathology 

STERNE  MORSE,  M.  D.,  -         Associate  in  Serology 

(Vacancy)  -  -        Associate  in  Bacteriology 

(Vacancy)  Associate  in  Internal  Medicine  and  Clinical  Pathology 

(Vacancy)  Senior  Assistant  Physician 

(Vacancy)     -  -          Assistant  Physician 

(Vacancy)  Assistant  in  Neuropathology 

JOHN  T.  MACCURDY,  M.  D.,  Voluntary  Assistant  in  Psychiatry 

W.  R.  VAN  KOUGHNET,         -  Secretary 

Long  Distance  Telephone,  Harlem  4216 


LEGAL    DEPARTMENT 


Under  recent  action  by  the  State  Hospital  Commission  the  Attorney- 
General  of  the  State  of  New  York,  Hon.  CHARLES  D.  NEWTON,  now 
conducts  all  legal  matters  for  the  State  hospitals. 


RETIREMENT  BOARD 
STATE  HOSPITAL  OFFICERS  AND  EMPLOYEES 

Hon.  EUGENE  M.  TRAVIS 
Hon.  CHARLES  W.  PILGRIM,  M.  D. 
Hon.  ANDREW  D.  MORGAN 
CHARLES  G.  WAGNER,  M.  D. 
RICHARD  McHuon 

Correspondence  should  be  addressed  to  Retirement  Board,  State 
pospital  Officers  and  Employees,  care  Comptroller,  Albany,  N.  Y. 


DIRECTORY 

CENSUS  JULY  1,  1920 

Number  of  patients  in  civil  State  hospitals 38,291 

Number  of  patients  in  Dannemora  and  Matteawan. . . .  1,380 

Number  of  committed  patients  in  private  institutions..  1,101 

Grand  total 40,772 

Certified  capacity  of  civil  State  hospitals 80,437 

Certified  capacity  of  Dannemora  and  Matteawan 1,115 

Medical  officers  in  civil  State  hospitals 168 

Medical  officers  in   Dannemora  and   Matteawan.......  10 

Number  of  employees  in  civil  State  hospitals 6,054 

Number  of  employees  in  Dannemora  and  Matteawan.  293 


STATE    HOSPITAL  SYSTEM 

Admission  of  Private  Patients  to  State  Hospitals 

Private  patients  can  be  admitted  to  State  hospitals  only  upon  consent  of 
the  medical  superintendents.  Rates  for  private  patients  range  from  six  to 
ten  dollars  per  week  and  if  payment  is  not  made  in  advance  a  surety  com- 
pany bond  must  be  provided  guaranteeing  payment  of  accounts  for  main- 
tenance. 


CIVIL 
STATE   HOSPITALS 


Hi  iiirh 


DIRECTORY 

Binghamton  State  Hospital 

m, 

Date  of  opening,  October  19,  1881 


Broome  Co. 


Board  of  Managers 

MERRITT  J.  CORBETT,  President, 

HENRY  A.  STEPHENS,  Secretary, 

Mrs.  KATE  M.  ELY, 

Mrs.  ANNIE  DEVEREUX  MILLS, 

BENJAMIN  F.  WELDEN, 

WILLIAM  H.  HECOX, 

J.  ARNOT  RATHBONE, 


Binghamton 
Binghamton 
Binghamton 

Oneida 
Binghamton 
Binghamton 

Elmira 


Resident  Officers 


CHARLES  G.  WAGNER,  M.  D., 

THEODORE  I.  TOWNSEND,  M.  D., 

HUGH  S.  GREGORY.  M.  D., 

EDWARD  GILLESPIE,  M.  D., 

JOHN  A.  PRITCHARD,  M.  D., 

R.  R.  WILLIAMS,  M.  D., 

C.  H.  BELLINGER,  M.  D., 

CHARLES  E.  ROWE,  M.  D., 

CARLETON  T.  BAGLEY,  M.  D., 

WALTER  E.  DEVINE,  M.  D., 

(Vacancy) 

(Vacancy) 

(Vacancy) 

(Vacancy) 

GEORGE  H.  BLAIS,  D.  D,  S., 

EDWARD  S.  GRANEY, 

SUSAN  L.  CARPENTER,  R.  N., 


-    Medical  Sup^t 

First  As st. 'Physician 

Pathologist 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Medical  Interne 

Me  a  ica  I  In  terne 

Dental  Interne 

Steward 

Principal  School  of  Nursing 


No.  Patients  .......  Men  1,500,  Women  1,238,  Total  2,738 

Certified  capacity.  Men  1,355,  Women  1,045,  Total  2,400 
No.  Employees  ____   Men     266,  Women    192,  Total     458 

Total  acreage  of  grounds  1,363 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Binghamton  State  Hospital  District:  Broome,  Chemung,  Chenango, 
Cortland,  Delaware,  Madison,  Otsego,  Schoharie  and  Tioga. 

Located  on  the  lines  of  the  Erie;  Delaware,  Lackawanna  and 
Western,  and  Delaware  and  Hudson  railways.  Electric  cars  leave 
the  corner  of  Court  and  Collier  streets  every  15  minutes. 

j  Bell  Telephone,  No.  453 
Hosp,tal  Long  D.stance  \  ^  Te,ephonei  No  454 


Visiting  Days  :    Mondays,  Wednesdays  and  Fridays,  two  to  four  p.  m. 


DIRECTORY  9 

Brooklyn  State  Hospital 

Brooklyn,  New  York 

Date  of  opening,  October,  1895 

Board  of  Managers 

HUGO  HIRSH,  President,  33  Montgomery  Place,  Brooklyn 

MICHAEL  F.  MCGOLDRICK,  -        189  Montague  St.,  Brooklyn 

Mrs.  GRACE  WILSON  WHITEHALL,  Secretary,    438  Quincy  St.,  Brooklyn 
CHARLES  PARTRIDGE,  700  Franklin  Ave.,  Brooklyn 

Mrs.  AGNES  DOORMAN  DRUHAN,  1195  Ocean  Ave.,  Brooklyn 

EDWIN  H.  THATCHER,      -  -      590  Flatbush  Ave.,  Brooklyn 

HERBERT  F.  GUNNISON  Eagle  Office,  Brooklyn 

Resident  Officers 

ISHAM  G.  HARRIS,  M.  D.,  -         Medical  Sit  ft 

FRANK  R.  HAVILAND,  M.  D.,  First  Asst.  Physician 

DAVID  CORCORAN,  M.  D.,  Clinical  Director 

ERVING  HOLLEY,  M.  D.,  Senior  Asst.  Physician 

ARTHUR  S.  SOPER,  M.  D.,  Senior  Asst.  Physician 

{Vacancy)  ^Senior  Assi.  Physician 

(Vacancy)  Sen ior  A sst.  Physician 

ANNA  M.  AGNEW,  M.  D..        -  Asst.  Physician 

JAMES  G.  PRATT,  M.  D.,  -      Asst.  Physician 

OTTOKAR  TENOPYR,  M.  D.,     -  Asst.  Physician 

HARRY  JOHNPOLL,,M.  D.,  Medical  Interne 

(Vacancy)  Medical  Interne 

HARRY  DRESPEL,  D.  D.  S.,  -        Dental  Interne 

HELEN..  V.  CLUNE,  R.  N.,       -  Principal  of  Training  School 

JOHN  R.  HEILMAN,  -         Steward 

FRANCES  C.  TANNER,  Social   Worker 

MILDRED  V.  RENWICK,  Asst.  Social  Worker 

No.  Patients,  Brooklyn Men  477,  Women  139,  Total  1,2)6 

No.  Patients,  Creedmoor Men    97, Total       97 

Certified  capacity.  Main  bdg. Men  343 

Creedmoor  . .  Men  150 

Whitman  bdg. Women  400 

Reception  bdg:, Women  150 

Total  capacity 1043 

No.  Employees Men    98.     Women  93,  Total      191 

Total  acreage  of  grounds  210 

Patients  admitted  from  County  of  Kings,  which  comprises  the  Brook- 
lyn State  Hospital  District. 

Accessible  from  New  York  by  subway  to  Atlantic  Avenue;  Flat- 
bush  Avenue  car;  transfer  Church  Avenue  to  East  Forty-second 
Street.  From  Brooklyn  Bridge  by  Fulton  Street  car  ;  transfer  to 
Nostrand  Ave.  State  Hospital  east  of  Kings  County  Hospital  on 
Clarkson  Street. 

Hospital  Telephone  at  Brooklyn,  Flatbush  410n 

Creedmoor  branch  accessible  from  New  York  or  Brooklyn  by  Fulton 
Street  elevated  to  City  Line  ;  at  City  Line  take  Mine.ola  trolley  to 
Madison  Street,  Queens. 

Telephone,  Creedmoor  Branch,  Hollis6326. 

Brooklyn  Branch  -Visiting  days  Sundays,  once  in  two  weeks  from 
one-thirty  p.  m.  to  three-thirty  p.  m. 

Creedmoor  Branch-  Visiting  days:  At  any  time  convenient  to 
visitors. 

Two  out-patient  dispensaries  for  free  advice  and  treatment  of 
incipient  mental  conditions,  viz. :  at  the  State  hospital  Saturdays  at 
2  p.  m. ;  at  the  Long  Island  College  Hospital  Fridays  at  2  p.  m. 


io  DIRECTORY 

Buffalo  State  Hospital 

Buffalo,  Erie  Co. 

Date  of  opening  1880 

Board  of  Managers 

PHILIP  G.  SCHAEFER,  President,        -        343  Elmwood  Avenue,  Buffalo 
Mrs.  WALTER  PLATT  COOKE,  Secretary,  155  Summer  St.,  Buffalo 

HOWARD  M.  WITBECK,      -  468  Locust  St.,  Lockport 

Dr.  HARRY  H.  EBBERTS,        -  -      890  Humboldt  Parkway,  Buffalo 

Mrs.  THEODORE  POMEROY,  146  Bryant  St.,  Buffalo 

Mrs.  JOHN  D.  HAZEL,  -     37  Hodge  Avenue,  Buffalo 

WILLIAM  A.  DOUGLAS,      -  Ellicott  Square,  Buffalo 

Resident  Officers 

FREDERICK  W.  PARSONS,  M.  D.,  Medical  Sup t 

WILLIAM  W.  WRIGHT,  M.  D.,        -  First  Asst.  Physician 

GEORGE  G.  ARMSTRONG,  M.  D.,  -       Senior  Asst.  Physician 

JOSEPH  B.  BETTS,  M.  D.,      -  Senior  Asst.  Physician 

CHRISTOPHER  FLETCHER,  M.  D.,  -       Senior  Asst.  Physician 

ROBERT  KING,  M.  D.,  Senior  Asst.  Physician 

HELENE  J.  C.  KUHLMANN,  M.  D.,         -  -       Senior  Asst.  Physician 

LEONA  E.  TODD,  M.  D.,       -  Senior  Asst.  Physician 

BARBARA  CURTIS,  M.  D.,  -       Asst.  Physician 

HAROLD  C.  HAVILAND,  M.  D.,         -  Asst.  Physician 

HARRY  B.  MOYLE,  M.  D.,  -       Medical  Interne 

(Vacancy)         -  Medical  Interne 

JOHN  E.  CULP,  Steward 

Miss  CHRISTINE  M.  STEWART,  R.  N., 

Principal  of  Nurses  Training  School 
Miss  MAUD  A.  BURNS,  R.  N.,     -  Social  Worker 

No.  Patients  (including  paroles)  Men  1,065,  Women  1,279,  Total  2,344 

Certified  capacity Men     680,  Women  1,020,  Total  1,700 

No.  Employees Men     153,  Women      167,  Total    320 

Total  acreage  of  grounds  183 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Buffalo  State  Hospital  District :  Erie  and  Niagara. 

The  hospital  is  located  on  Forest  avenue,  about  three  and  one-half 
miles  from  the  principal  railway  stations,  accessible  via  Elmwood 
avenue,  Hoyt  street  or  Forest  Michigan  trolley  lines,  at  the  Erie  and 
New  York  Central  stations,  which  run  directly  to  the  hospital. 

Telephone  Bidwell  2261 
Visiting  days:  Mondays,  Wednesdays  and  Fridays,  two  to  five  p.  m. 


DIRECTORY 


Central  Islip  State  Hospital 


Central  Islip, 


Suffolk  Co. 


Date  of  opening  February  27,  1896 


Board  of  Managers 

JAMES  MACGREGOR  SMITH,  President,       32  Nassau  St.,  New  York  City 

Rev.  WILLIAM  H.  GARTH,  Secretary,  -                                      Islip,  N.  Y. 

FRANCIS  ROGERS,        -                         -  144  East  62d  St.,  New  York  City 

Mrs.  EDWARD  EVERETT  HICKS,  1168  Dean  St.,  Brooklyn,  N.  Y. 

Mrs.  BRADISH  G.  JOHNSON,        .  Islip,  N.  Y. 

Mrs.  ARTHUR  F.  J.  REMY,             -  19  West  95th  St.,  New  York  City 

Mrs.  WILSON  R.  SMITH,  250  Hancock  St.,  Brooklyn 

Resident  Officers 

Medical  Superintendent 
First  As st.  Physician 
First  Asst.  Physician 
Clinical  Director 
Pathologist 

Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
-  Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 

D.,        -  Senior  Asst.  Physician 

.  -      .       -      Asst.  Physician 
Asst.  Physician 
Asst.  Physician 
Senior  or  Asst.  Physician 
Senior  or  Asst.  Physician 
Asst.  Physician  or  Medical  Interne 
Asst.  Physician  or  Medical  Interne 
Medical  Interne 
Medical  Interne 
.  S.,  -  -  .  Dental  Interne 


G.  A.  SMITH,  M.  D., 
C.  M.  BURDICK,  M.  D., 
H.  G.  GIBSON,  M.  D., 
G.  W.  MILLS,  M.  D., 
(Vacancy) 

C.  L.  VAUX,  M.  D., 

G.  C.  H.  BURNS,  M.  D., 
T.  W.  SIMON,  M.  D., 
A.  E.  ULLMAN,  M.  D., 
FRANK  HINKLEY,  M.  D., 
R.  G.  REED,  M.  D., 
*WILLIAM  LEAVITT,  M.  D., 

D.  D.  DURGIN,  M.  D., 

F.  D.  STREETER,  M.  D., 
W.  N.  EARNHARDT,  M.  D., 
J.  F.  MCNEILL,  M.  D., 

W.  A.  CONLON,  M.  D.,    - 

G.  A.  P.  BOULDEN,  M.  D., 
SARA  L.  SMALLEY,  M.  D., 
VERNIE  E.  WOODWARD,  M. 

E.  H.  ENDE,  M.  D., 
WM.  J.  DELANEY,  M.  D., 
CHARLES  A.  KINCH,  M.  D., 
(Vacancy) 

(Vacancy) 

(Vacancy)        -    ' 

(Vacancy) 

(Vacancy) 

(Vacancy) 

MORRIS  ROSENBLATT,  D.  D 

*On  leave  of  absence. 


12  DIRECTORY 

CENTRAL  ISLIP  STATE  HOSPITAL— CONTINUED 

W.  J.  McKEE,        -  -         Steward 

W.  B.  SCHEIBER,  -                                                 -         Assistant  Steward 

JULIA  A.  DUFFY,  R.  N.                                Principal  of   Training  School 

Louis  STEMPLE,  -                                                           -          Pharmacist 

MARY  E.  DUNN,  Social  Worker 

(Vacancy)         -  -      Asst.  Social  Worker 

(Vacancy)  Asst.  Social  Worker 

No.  Patients Men  3,017,  Women  2,560,  Total  5,577 

Certified  capacity.    Men  2,369,  Women  1,731,  Total  4,100 
No.  Employees Men     434,  Women     196,  Total     030 

Total  acreage  of  grounds  994 

Patients  admitted  from  boroughs  of  Manhattan,  Queens  and  the 
Bronx,  and  Counties  ,of  Nassau  and  Suffolk,  which  comprise  the  Cen- 
tral Islip  State  Hospital  District. 

Hospital  Long  Distance  Telephone,  18  Central  Islip. 
Telegraph,  Central  Islip,  Long  Island. 

Visiting  days:  Tuesdays,  Thursdays,  Sundays  and  holidays,  ten 
a.  m.  to  four  p.  m. 

City  office:  Hall  of  Records,  Room  703,  cor.  Center  and  Chambers 
Sts.,  New  York  City— Thursdays. 

SCHEDULE  OF  TRAINS 

FOR  CENTRAL  ISLIP — WEEK  DAYS 

Leave  N.  Y.  C.  A.  M.  A.  M.  p.  M.  p.  M.  p.  M.  p.  M.   p.  M.   p.  M.  p.  M.  p.  M. 
Penn.  Sta.        8  03  9  59   i  08*  3  oo    4  06    4  58    5  48   6  49    8  10  n  30 
Leave  L.  I. City,  9  42  2  42    4  42     5  43    8  oo 


SUNDAYS  FOR  CENTRAL  ISLIP 


Leave  N.  Y.  C. 
Penn.  Sta., 
Leave  L.  I.  City, 

Leave  -Central              A, 
Islip,  (week  days)     5 
(Sundays), 

*  Saturdays  only. 

*A.  M. 

8  28 
9  47 

FROM 

,  M.       A. 

44      6 

P.   M. 

i  40 
i  27 

CENTRAL 

M.          A.  M. 

34        7   13 

7  08 

ISLIP 

A.  M. 

9  23 

8  50 

P.  M.  P.  M. 

4  15  8  20 

8  15 


P.M.         P.M.         P.M. 

12  58      5  37        6  3° 
3  58      5  04        7  27 


DIRECTORY  13 

Gowanda  State  Homeopathic  Hospital 

Collins,  Brie  Co. 

Date  of  opening  August  9,  1898 

Board  of  Managers 

PETER  W.  NEEFUS,  M.  D.,  President,        -        174  East  Ave.,  Rochester 
Mrs.  BERTHA  M.  BARD,  Vice-President,  -      Gowanda 

CHARLES  H.  FELTHOUSEN,  Secretary,  Brisbane  Building,  Buffalo 

Mrs.  DOCIA  W.  LAW,  Collins 

HENRY  L.  MOENCH,  -      Gowanda 

Mrs.  ALICE  E.  SCHLEY,  M.  D.,  Buffalo 

HENRY  W.  KILLEEN,  Esq.,         -  Buffalo 

Resident  Officers 

CLARENCE  A.  POTTER,  M.  D.,  -      Medical  Superintendent 

EARL  V.  GRAY,  M.  D.,  -     First  Asst.  Physician 

FREDERICK  P.  SCHENK,  M.  D.,  Senior  Asst.  Physician 

HERMAN  L.  RAYMOND,  M.  D.,        -  Asst.  Physician 

ERWIN  H.   MUDGE,  M.  D.,          -  -         Asst.  Physician 

AXNE  E.  PERKINS,  M.  D.,  .  Asst.  Physician 

WALDEMAR  G.  RICHTER,  M.  D,  Medical  Interne 

(Vacancy)  Dental  Interne 

GEORGE  P.  WATSON,  Steward 

JAMES  D.  EDWARDS,      -  Asst.  Steward 

OLIVE  A.  CARPENTER,        -  -        Matron 

ADELLE  M.  PHILLIPS,  R.  N.,  -      Principal  of  School  of  Nursing 

AUGUSTA  R.  KINNER,        -  -   Field  Worker  and  After-Care  Agent 

No.  Patients Men  722,  Women    552,  Total  1,274 

Certified  capacity.     Men  520,  Women  480,  Total      950 
No.  Employees....     Men  102,  Women     80,  Total      182 

Total  acreage  of  grounds  700 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Gowanda  State  Homeopathic  Hospital  District:  Cattaraugus,  Chau- 
tauqua,  Erie  and  Wyoming;  and  patients  from  any  part  of  the«Btate 
for  whom  homeopathic  treatment  is  desired. 

Hospital  two  miles  from  Gowanda,  one  mile  from  Collins  on  Buffalo 
and  Jamestown  branch  of  Erie  railroad.  Accessible  from  Collins  by 
automobile  'bus. 

Hospital  Long  Distance  Telephone  at  Gowanda 

Bell  81 

Visiting  days:  Everyday  excepting  Saturdays,  Sundays  and  legal 
holidays,  from  ten  to  eleven  a.  m.  and  from  one  to  four  p.  m. 


i4  DIRECTORY 

Hudson  River  State  Hospital 

Poughkeepsie,  E>utctie»»  Co. 

Date  of  opening,  1871 
Board  of  Managers 

FRANK  B.  LOWN,  President,  Sunny  Fields,  Poughkeepsie 

E.  LYMAN  BROWN,  Secretary,     -  Wappingers  Falls 

Miss  CATHERINE  A.  NEWBOLD,      -  -    North  Road,  Poughkeepsie 

Miss  MYRA  H.  AVERY,     -  Poughkeepsie 

J.  WILSON  POUCHER,  M.  D.,  Poughkeepsie 

DANIEL  J.  GLEASON,        -  -        Millerton 

JOSEPH  L.  SCHWARTZ,  -    Yonkers 

Resident  Officers 

WALTER  G.  RYON,    M.  D.,  Medical  Superintendent 

WILLIS  E.  MERRIMAN,   M.  D.,    -  -         First  Asst.  Physician 

(Vacancy)         -  First  Asst.  Physician 

HOWARD  P.  CARPENTER,  M.  D.,  -     Pathologist 

WILLIAM  J.  CAVANAUGH,  M.  D.,        -  Senior  Asst.  Physician 

CALVIN  B.  WEST,  M.  D.,        -  -        Senior  Asst.  Physician 

THEODORE  W.  NEUMANN,  M.  D.,  -  Senior  Asst.  Physician 

WILLIAM  J.  THOMPSON,  M.  D.,          -  Senior  Asst.  Physician 

HENRY  L.  TRENKLE,  M.  D.,         -  Senior  Asst.  Physician 

BLANCHE  DENNES,  M.  D.,  -  -  Senior  Asst.  Physician 
(Vacancy)  -  Senior  Asst.  Physician  or  Asst.  Physician 
(Vacancy)  Senior  Asst.  Physician  or  Asst.  Physician 

HOWARD  M.  KENYON,  M.  D.,  Asst.  Physician 

GERALD  R.  JAMEISON,  M.  D.,  -        Asst.  Physician 

HOWARD  W.  POTTER,  M.  D.,  Asst.  Physician 

CLARENCE  W.  BARTH,  M.  D.,  Asst.  Physician 

LEE*M.  GREEN,  M.  D.,        -  Asst.  Physician 

(Vacancy)  Asst.  Physician 

LEO  R.  TIGHE,  M.  D.,        -  Medical  Interne 

(Vacancy)  -         Medical  Interne 

ARCHIBALD  B.  HENDERSON,  D.  D.  S.,      -  -     Dental  Interne 

GEORGE  R.  FINTON,  Steward 

NELLIE  A.  DOUGHTY,  R.  N.,  -      Social  Worker 

MARGARET  J.  GLANCY,  R.  N.,  Principal  of  School  of  Nursing 


DIRECTORY  15 

HUDSON  RIVER  STATE  HOSPITAL— CONTINUED 

No.  Patients Men  1,589,  Women  1,970,  Total  3,559 

Certified  capacity.  Men  1,275,  Women  1,575,  Total  2,850 
No.  Employees....  Men     330,  Women      228,  Total     558 

Total  acreage  of  grounds  894 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Hudson  River  State  Hospital  District:  Albany,  Columbia,  Dutchess, 
Greene,  Putnam,  Rensselaer,  Washington  and  Westchester. 

The  hospital  is  located  two  miles^iorth  of  the  New  York  Central 
railway  station  at  Poughkeepsie.  It  may  be  reached  by  trolley  cars 
(marked  Hospital),  which  fmn  on  the  hour  and  half  hour  from  the 
corner  of  Washington  and  Main  Streets  directly  to  the  hospital.  The 
trolley  cars  connect  with  the  ferry  from  Highland  (West  Shore  R. 
R.)  and  with  both  railroad  stations  in  Poughkeepsie,  (New  York  Cen- 
tral and  Central  New  England).  Taxicabs  may  be  procured  at  the 
stations. 

Local  and  Long  Distance  Telephones 
Bell  Telephone,  No.  771-772-773 

Visiting  days:  Mondays,  Wednesdays  and  Fridays,  from  ten  a.  m. 
to  four  p.  m. 

Visiting  is  allowed  on  Sunday  only  in  case  of  urgent  need,  such  as 
illness,  etc. 


i6 


DIRECTORY 


Kings  Park  State  Hospital 

Kings  Park,  -  New  York 

Date  of  opening  October  i,  1896 

Board  of  Managers 

MATTHEW  J.  TOBIN,  President, 

34  Warren  St.,  corner  Church  St.,  New  York  City 

Rev.  JOHN  C.  YORK,  Secretary,  409  Linden  St.,  Brooklyn 

J.  B.  MORRELL,                         -     ^  -        Northport,  Long  Island 

ALLIE  A.  ROGERS,   -  -     Sayville,  Long  Island 

RtciNA  T.  SHERWOOD,  -       Glen  Cove,  Long  Island 

ANN  W.  WHEELER,  *     22  Pierrepont  St.,  Brooklyn 

D.  HENRY  BROWN,        -  -        Riverhead,  Long  Island 


Resident 


WM.  C.  GARVIN,  M.  D., 

AARON  J.  ROSANOFF,  M.  D., 

RUSSELL  E.  BLAISDELL,  M.  D., 

WALTER  H.  SANFORD,  M.  D., 

CHARLES  G.  MCGAFFIN,  M.  D., 

CHARLES  S.  PARKER,  M.  D., 

J.  H.  SHUFFLETON,  M.  D., 

M.  M.  GROVER,  M.  D., 

HARRY  A.  STECKEL,  M.  D.,      - 

THOMAS  S.  CUSACK,  M.  D., 

ANNA  CRAIG,  M.  D., 

ALFRED  T.  WOOD,  M.  D., 

HIRAM  G.  HUBBELL,  M.  D.,      - 

CHARLES  H.  BRUSH,  M.  D., 

JOHN  V.  SWIERAT,  M.  D  , 

HENRY  W.  ROGERS,  M.  D., 

W.  J.  C.  AUBRY,  M.  D., 

(Vacancy) 

(Vacancy) 

(Vacancy) 

(Vacancy) 

(Vacancy)     - 

(Vacancy) 

EDNA  CONDE,  D.  D.  S., 

IDA  M.  MARKER,  R.  N., 

CHARLES  S.  PITCHER, 


Officers 

Ale  die  a  I  Superintendent 

First  Asst.  P  hysician 

First  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Woman  Physician 

-    Asst.  Physician 

Asst.  Physician 

Asst.  Physicivn 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

-    Ale  die  al  Interne 

Medical  Interne 

-        .    -       Resident  Dentist 

Principal  of  Training  School 

Steward 


DIRECTORY  17 

KINGS  PARK  STATE  HOSPITAL— CONTINUED 

No.  Patients Men  2,081,    Women  2,716,  Total  4,797 

Certified  capacity.    Men  1.564,    Women  2,036,   Total  3,600 
No.  Employees....    Men     357,   Women     266,  Total     623 
Total  acreage  of  grounds  835 

Patients  admitted  from  the  following  boroughs  and  counties,  which 
comprise  the  Kings  Park  State  Hospital  District:  Borough  of  Kings 
and  counties  of  Nassau  and  Suffolk. 

Forty-five  miles  from  New  York  city.  Accessible  by  trains  on  the 
Long  Island  railroad.  Surface  and  elevated  roads  from  Grand  Central 
Station,  New  York,  to  East  34th  Street  ferry,  connecting  with  Long 
Island  City  station  of  the  Long  Island  railroad.  Also  by  subway 
from  Grand  Central  Station  to  Flatbush  avenue,  Brooklyn,  thence  by 
Long  Island  railroad  via  Jamaica;  also  Pennsylvania  Station,  yth  Ave. 
and  33d  Street,  New  York  City,  via  Jamaica. 

The  time  table  is  subject  to  frequent  change,  but  morning  trains  to 
Kings  Park  leave  at  about  nine  and  eleven  a.  m. ,  and  returning  from 
Kings  Park  leave  at  about  four  and  six-fifty  p.  m.  Sunday  trains 
leave  the  city  at  about  nine  and  eleven  a.  m.  and  returning  leave 
Kings  Park  at  about,  four-twenty,  six-thirty,  and  eight-fifty  p.  m. 

Visiting  days  :  Wednesdays,  Sundays  and  holidays,  nine  a.  m.  to 
five  p.  m. 

Hospital  Long  Distance  Telephone,  11  Kings  Park. 

New  York  City  office,  Hall  of  Records,  Room  703,  corner  of 
Center  and  Chambers  Streets. 

Telephone,  4424  Worth 


i8 


DIRECTORY 


Manhattan  State  Hospital 

Ward's  Island,  New  York  City 

Date  of  opening  1905 

Board  of  Managers 

ROBERT  ABRAHAMS,  M.  D.,  President,  336  West  88th  St.,  New  York  City 
GUSTAV  SCHOLER,  M.  D.,  Secretary,  10  Jumel  Terrace,  New  York  City 
JACOB  KATZ,  -  315  West  99th  St.,  New  York  City 

JACOB  OSHLAG,  M.  D.,  1060  Madison  Ave.,  New  York  City 

MARTIN  COHEN,  M.  D.,      -  i  West  8sth  St.,  New  York  City 

Mrs.  JULIA  KEMP  WEST, 

Hotel  Buckingham,  soth  St.  and  Fifth  Ave.,  New  York  City 
Mrs.  THOMAS  HUGHES  KELLY, 

Hotel  Buckingham,  soth  St.  and  Fifth  Ave.,  New  York  City 

Resident  Officers 

MARCUS  B.  HEYMAN,  M.  D.,  Medical  Superintendent 

HERMAN  C.  EVARTS,  M.  D.,  First  Asst.  Physician  (Women's  Division) 
JOHN  T.  W.  ROWE,  M.  D.,  First  Asst.  Physician  (Men's  Division) 


MORTIMER  W.  RAYNOR,  M.  D., 
WILLIAM  J.  TIFFANY,  M.  D., 
JOHN  R.  KNAPP,  M.  D., 
PHILIP  SMITH,  M.  D., 
RALPH  P.  FOLSOM,M.  D., 
ARTHUR  M.  PHILLIPS,  M.  D., 
CHESTER  WATERMAN,  M.  D., 
JAMES  P.  KELLEHER,  M.  D., 
ISAAC  FURMAN,  M.  D., 
RAYMOND  G.  WEARNE,  M.  D., 
ELIZABETH  S.  HELLWEG,  M.  D., 
WILLIAM  JAMISON,  M.  DM     - 
Louis  S.  LONDON,  M.  D., 
HENRY  C.  SZETO,  M.  D,, 
MICHAEL  P.  LONERGAN,  M.  D., 
JOSEPH  H.  GLOBUS,  M.  D., 
CARL  SCHWAN,  M.  D.,    - 
ANNA  E.  HUTCHINSON,  M.  D., 
( Vacancy) 

HOMER  L.  DAY,  M.  D., 
SAMUEL  WITT,  M.  D., 
JOSEPH  H.  WELCH,  M.  D., 
MENDES  S.  WECHSLER,  M.  D., 
MANUEL  D.  MOYSE,  M.  D., 


Director  of  Clinical  Psychiatry 
Pathologist 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Asst.  Physician 

Medical  Interne 

Medical  Interne 

Medical  Interne 

Medical  Interne 

Medical  Interne 


DIRECTORY  19 

MANHATTAN   STATE    HOSPITAL-CONTINUED 

MARY  MACLACHLAN,  M.  D.,  -                                                Medical  Interne 

Louis  HAUSMAN,  M.  D.,       -  Medical  Interne 

IRVING  SPERBER,  D.  D.  S.  Dental  Interne 

AMELIA  MASSOPUST,  R.  N.,  Director  Social  Service 

ELIZABETH  PIERCE,  R.  N.,  -                                               Social  Worker 

(Vacancy)  -     Social  Worker 

(Vacancy)  Social  Worker 

ANN  How,  R.  N.,       -  Principal  of   Training  School 
ANNIE  F.  JESTLEY,  R.N.,  Matron  and  Director  of  Women's  Industries 

MICHAEL  F.  BRADLEY,  Steward 

(Vacancy)      -  Asst.  Steward 

No.  Patients Men  2,584,  Women  3,461,  Total  6,045 

Certified  capacity Total  5,230 

No.    Employees Men     492,  Women     263,  Total     755 

Total  acreage  of  grounds  245 

Patients  admitted  from  the  following  boroughs  of  Greater  New 
York,  which  comprise  the  Manhattan  State  Hospital  District:  Man- 
hattan, Richmond  and  the  Bronx. 

Visiting  days:  Mondays,  Saturdays  and  Sundays,  from  one  to 
two  p.  in.  Accessible  by  steamer  from  foot  of  East  n6th  Street. 
Passes  can  be  obtained  at  the  hospital,  or  at  dock,  foot  of  East  n6th 
Street. 

All  official  communications  in  regard  to  the  Manhattan  State  Hos- 
pital should  be  addressed  to  the  Superintendent. 

Post  Office  Address,  Station  U,  New  York  City. 

Hospital  Long  Distance  Telephone,  No.  1869  Harlem. 

Private  Branch  Exchange  System. 

New  York  City  Office,  Hall  of  Records  Building,  corner  of 
Centre  and  Chamber  Streets,  Room  703. 

Telephone,  4424  Worth. 


DIRECTORY 


Middletown  State  Homeopathic  Hospital 

Middletown,  Orange  Co. 

Date  of  opening,  1874 
Board  of  Managers 

Hon.  JOHN  C.  R.  TAYLOR,  President,      75  Highland  Ave.,  Middletown 

FRANK  DURLAND,  Secretary,  -                                               -        Chester 

Hon.  ALLEN  W.  CORWIN,        -  169  Wisner  Ave.,  Middletown 

Mrs.  LENA  H.  TOWNSEND,  -    231  Liberty  Street,  Newburgh 

Mrs.  SUSAN  TUCKERMAN,  Tuxedo 

PHILIP  H.  MINSHULL,        -  7  Low  Ave.,  Middletown 

FLOYD  HALSTEAD,        -  Goshen 

Resident  Officers 


MAURICE  C.  ASHLEY,  M.  D., 

ROBERT  C.  WOODMAN,  M.  D., 

ARTHUR  S.  MOORE,  M.  D., 

WILLIAM  E.  KELLY,  M.  D., 

WALTER  A.  SCHMITZ,  M.  D., 

RAY  W.  MOODY,  M.  D., 

SAMUEL  B.  POND,  M.  D.,    - 

(Vacancy) 

(Vacancy) 

(Vacancy) 

(Vacancy) 

ARCHIBALD  K.  BENEDICT,  M.  D., 

J.  HAROLD  MORRIS,  D.  D.  S., 

(Vacancy) 

AGNES  M.  VALLEY,  R.  N., 

HENRY  J.  LEONARD, 

MARY  N.  SCHMITZ,  R.  N., 

MILDRED  H.  HURLEY, 

DAN  W.  RICH, 


Medical  Superintendent 

First  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Senior  Asst.  Physician 

Asst.  Physician 

-  Asst.  Physician 
Asst.  Physician 

-  Asst.  Physician 
.    -           Medical  Interne 

Dental  Interne 
Medical  Interne 

Principal  of  School  of  Nursing 

-     '  Steward 

Matron 

Social  Worker  arid  After-Care  Agent 
-  Pharmacist 


No.  Patients Men  786,  Women  1,391,  Total  2,177 

Certified  capacity  Men  616,  Women  1,224,  Total  1,840 
No.  Employees....  Men  185,  Women      151,  Total     336 
Total  acreage  of  grounds  543 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Middletown  State  Homeopathic  Hospital  District:  Orange,  Rockland, 
Sullivan  and  Ulster;  and  patients  from  any  part  of  the  State  for 
whom  homeopathic  treatment  is  desired. 

Middletown  is  sixty-seven  miles  from  New  York  City,  and  may  be 
reached  by  the  following  railways:  New  York,  Ontario  and  Western; 
Erie ;  New  York,  Susquehanna  and  Western.  Electric  cars  run 
between  Middletown  and  the  hospital.  Public  conveyances  may  be 
had  at  the  station. 

Telephone  (Long  Distance)  No.  12 

Visiting  days:  Every  day  excepting  Saturdays,  Sundays  and  legal 
holidays. 


DIRECTORY  21 

Rochester  State  Hospital 

Rochester,  Monroe  Co. 

Date  of  opening,  July  i,  1891 

Board  of  Managers 

Mrs.  LILLIE  B.  WERNER,  President,  399  Oxford  St.,  Rochester 

HAROLD  P.  BREWSTER,  Vice-President, 

Rochester  Savings  Bank,  Rochester 

JOHN  S.  BRONK,  Secretary,       -  -     706  Wilder  Building,  Rochester 

FREDERICK  C.  MALLING,       -  142  Portland  Ave.,  Rochester 

WILLIAM  D.  WOLFF,  M.  D.,  -       62  Cumberland  St.,  Rochester 

Mrs.  LILLIAN  H.  GORSLINE,  -    25  East  Boulevard,  Rochester 

MORTIMER  R.  MILLER,  232  Culver  Road,  Rochester 

Resident  Officers 

EUGENE  H.  HOWARD,  A.  M.,  M.  D.,  Medical  Sup' I 

EZRA  B.  POTTER,  M.  D.,  -      First  Asst.  Physician 

WILLARD  H.  VEEDER,  M.  D.,  Senior  Asst.  Physician 

IRVING  L.  WALKER,  M.  D.,  -     Senior  Asst.  Physician 

EVELINE  P.  BALLINTINE,  M.  D.,  -                        Senior  Asst.  Physician 

MARY  A.  NICKERSON,  M.  D.,  -      Senior  Asst.  Physician 

SARAH  G.  PIERSON,  M.  D.,      -  Asst.  Physician 

GRACE  H.  GRIFFIN,  M.  D.,  •-                       -       Asst.  Physician 

WILFORD  N.  WRIGHT,  M.  D.,  Medical  Interne 

ANNA  L.  MACPHERSON,  R.  N.,     -  -     Principal  School  of  Nursing 

CALVIN  L.  WEST,  Steward 

ALBERT  F.  VEEDER,  Ph.  G.,         -  Pharmacist 

MINNIE  I.  GAINEY,        -  Social  Worker 

No.  Patients Men  724,  Women  1,048,  Total  1,772 

Certified  capacity  .  Men  508,   Women     752,  Total  1,260 

No.  Employees....  Men  124,  Women     164,  Total     288 

Total  acreage  of  grounds  269 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Rochester  State  Hospital  District:  Genesee,  Monroe,  Livingston  and 
Orleans. 

Two  miles  from  railway  stations.  Accessible  by  electric  cars  of  the 
South  avenue  line. 

Bell  Telephone  Chase  No.  67 
Rochester  Telephone  Stone  No.  3100 
Visiting  days:    Tuesdays  and  Fridays,  two  to  four  p.  m. 


22  DIRECTORY 

St.  Lawrence  State  Hospital 

Ogdensburg,  St.  Lawrence  Co. 

Date  of  opening  as  a  State  Hospital  December  9,  1890 
Board  of  Managers 

JAMES  E.  KELLY,  President,  Ogdensburg 

ROBERT  S.  WATERMAN,  Secretary,     -  Ogdensburg 

Dr.  JOHN  J.  ROBINSON,       -  Plattsburg 

Mrs.  ANNIE  E.  DANIELS,  -                                               -    Ogdensburg 

Mrs.  MARY  S.  GOODALE,     -  Watertown 

H.  PUTNAM  ALLEN,       -  Fulton 

THOMAS  DINNEEN,      -  -        Ogdensburg 

Resident  Officers 

PAUL  G.  TADDIKEN,  M.  D.,  ....      MedicaJ.  Suft 

ARTHUR  G.  LANE,  M.  D.,  -          First  Asst.  Physician 

(Vacancy)        -  Pathologist 

HYMAN  L.  LEVIN,  M.  D.,  -       Senior  Asst.  Physician 

HARRY  J.  WORTHING,  M.  D-,  Senior  Asst.  Physician 

(Vacancy)  -       Senior  Asst.  Physician 

CAROLINE  S.  PEASE,  M.  D.,  -            -            -         Woman  Phvsician 

V.  S.  W.  WORDEN,  M.  D.,  ,-                        -        Asst.  Physician 

HAROLD  L.  GOKEY,  M.  D.,  -                           Asst.  Physician 

CLIFFORD  E.  MC£LWAIN,  M.  D.,  -       Asst.  Physician 

(Vacancy)        -  -                           Asst.  Physician 

PERCY  L'  SMITH,  M.  D.,  -       Medical  Interne 

LEO  J.  PALMER,  M.  D.,          -  Medical  Interne 

(Vacancy)                                        ••  -       Medical  Interne 

CHARLES  S.  MURPHY,  D.  D.  S.,  -                                       Dental  Interne 

G.  MARION  POTTER,  R.  N.,          -  -          Principal,  Training  School 

JESSE  A.  COTTER,       -  Steward 

FLORENCE  J.  FINN,  R.  N.,  -        Social  Service  Worker 

No.  Patients Men     993,  Women  1,289,  Total  2,282 

Certified  capacity...   Men     850,  Women  1,100,  Total  1,950 
No.  Employees Men     196,  Women     246,  Total     442 

Total  acreage  of  grounds  1219^ 

Patients  admitted  from  the  following  counties,  which  comprise  the 
St.  Lawrence  State  Hospital  District:  Clinton,  Essex,  Franklin, 
Jefferson,  Lewis,  Onondaga,  Oswego  and  St.  Lawrence. 

Hospital  located  three  and  one-half  miles  from  the  centre  of  Ogdens- 
burg on  the  Rome,  Watertown  and  Ogdensburg,  and  Rutland  railways. 
Accessible  by  trolley  line  every  twelve  minutes.  Public  carriages  may 
also  be  obtained  at  the  railway  stations. 

Dispensary  for  nervous  and  mental  cases  referred  by  physicians  in 
hospital  district,  and  for  psychoneurotic  cases  for  psychoanalysis, 
Saturdays  from  9  to  3. 

Long  Distance  Bell  Telephone. 
Western  Union  Telegraph  Office  at  Hospital. 
Visiting  days:    Tuesdays  and  Fridays,  one  to  four  p.  m. 


DIRECTORY 


Utica  State  Hospital 

Utica, 

Date  of  opening,  January  16,  1843 

Board  of  Managers 
GEORGE  E.  DUNHAM,  President, 
EDWARD  H.  COLEY,  D.  D.,  Secretary, 
Mrs.  FREDERICK  S.  KELLOGG, 
Miss  MARY  ISABEL  DOOLITTLE,    - 
FREDERICK  T.  PROCTOR, 
WILLIAM  G.  MAYER, 
CLARENCE  E.  WILLIAMS, 

Resident  Officers 
RICHARD  H.  HUTCHINGS,  M.  D., 
GEORGE  B.  CAMPBELL,  M.  D., 
CLARENCE  L.  RUSSELL,  M.  D., 
Ross  D.  HELMKR,  M.  D., 
ROBERT  F.  ZIMMERMAN,  M.  D., 
AUGUST  E.  WITZEL,  M.  D., 
CLARA  SMITH,  M.  D., 
JOHN  J.  LEARY,  M.  D., 
WM.  W.  ROOT,  M.  D., 
RICHARD  H.  HUTCHINGS,  JR.,  M.  D., 
JOSEPH  R,  CHARLES,  D.  D.  S., 
KOPLAND  K.  MARKOFF,  M.  D., 
M^NLEY  B.  ROOT,  M.  D., 
LEWIS  WEBB, 
LENA  KRANZ,  R.  N., 
EVA  M.  SCHIED,  R.  N., 
WALTER  TYLER,  Ph.  G. 


Oncicla    Co. 


Utica 
Utica 
Utica 
Utica 
Utica 
Waterville 
Utica 


Medical  Superintendent 
First  As st.  Physician 
Pathologist 

Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 
Senior  Asst.  Physician 

-  Asst.  Physician 
Asst.  Physician 

-.   Asst.  Physician 
Dentist 

-  Medical  Interne 
Medical  Inte*  ne 

Steward 

Principal  of  Training  School 
Social  Worker 
Pharmacist 


No.  Patients Men  862,  Women  967,  Total    1,829 

Certified  capacity.  Men  670,  Women  730,  Total    1,400 
No.  Employees....  Men  192,  Women  174,  Total       366 

Total  acreage  of  grounds  1,402 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Utica  State  Hospital  District:  Fulton,  Hamilton,  Herkimer,  Mont- 
gomery, Oneida,  Saratoga,  Schenectady  and  Warren. 

One  one-half  miles  from  the  Union  Railway  station.  Take  electric 
car  at  station,  transferring  at  LaFayette  Street  to  Rome,  Whitesboro 
or  New  York  Mills  line.  Stop  at  junction  of  Court  and  Whitesboro 

streets. 

Hospital  L^mg-  Distance  Telephone,  No.  945. 

Visiting  days:    Mondays  and  Fridays,  except  holidays. 


24  DIRECTORY 

Willard  State  Hospital 

Willard,  Seneca  Co. 

Date  of  opening,  October  16,  1869 

Board  of  Managers 

FRED  J.  MANRO,  President,        -  Auburn 

JOHN  M.  QUIRK,  M.  D.,  Secretary,  200  Seventh  Street,  Watkins 

Mrs.  ANNIE  LAURIE  STEWART,  125  E.  Buffalo  Street,  Ithaca 

CHARLES  R.  PHILLIPS,                      -  Hornell 

WILLIAM  T.  MORRIS,  -       Penn  Yan 

Mrs.  ANNA  AUGUSTA  HORTON,        -  Ovid,  N.  Y. 

THOS.  J.  CLARY,  Seneca  Falls 

Resident  Officers 

ROBERT  M.  ELLIOTT,  M.  D.,  -           -           -           -          Medical  Sup '/ 

THOMAS  J.  CURRIE,  M.  D.,  .-  First  Asst.  Physician 

WM.  H.  MONTGOMERY,  M.  D.,  -                        -      Senior  Asst.  Physician 

Louis  T.  WALDO,  M.  D.,         -  Senior  Asst.  Physician 

GORDON  PRIESTMAN,  M.  D.,  -                        -       Senior  Asst.  Physician 

RALPH  S.  PETTIBONE,  M.  D.,  Senior  Asst.  Physician 

WIRT  C.  GROOM,  M.  D.,  -       Asst.  Physician 

HOMER  I.  REXFORD,  M.  D.,  Asst.  Physician 

MARY  H.  SMITH,  M.  D.,  -       Asst.  Physician 

CHARLOTTE  B.  MACARTHUR,  M.  D.,  Asst.  Physician 

(Vacancy)  -       Medical  Intcrtit 

(Vacancy)         -  Medical  Interne 

F.  ERWIN  DOWD,  Dental  Interne 

FRANK  L.  WARNE,      -  -                                                     Steivard 

MARY  J.  MERRIMAN,  R.  N.,  -       Principal  of  Training  School 

HENRY  SCHMELZ,         -  Pharmacist 

RACHEL  FORD,        -  After-Care  Agent 

No.  Patients Men  1,255,  Women  1,329,  Total  2,584 

Certified  capacity. .  Men  1,016,  Women  1,098,  Total  2,114 
No.  Employees Men     254,  Women    251,  Total     505 

Total  acreage  of  grounds  1,217 

Patients  admitted  from  the  following  counties,  which  comprise  the 
Willard  State  Hospital  District:  Allegany,  Cayuga,  Onondaga,  Ontario, 
Schuyler,  Seneca,  Steuben,  Tompkins,  Wayne  and  Yates. 

Accessible  from  the  east,  by  New  York  Central  and  Hudson  River 
railway  (Auburn  branch  from  Syracuse  to  Geneva);  from  the  west,  via 
New  York  Central  and  Hudson  River  railway,  from  Rochester  (Auburn 
branch)  to  Geneva,  or  via  Lehigh  Valley  railway  ;  from  the  north, 
Lyons  to  Geneva,  via  Fall  Brook  railway  ;  from  the  south,  via  Lehigh 
Valley  railway. 

This  hospital  is  most  conveniently  reached  by  the  Ithaca  branch 
of  Lehigh  Valley  railroad  from  Hayt's  Corners. 

Hospital  Long  Distance  Telephone,  Willard,  N.  Y. 
Telegraph  office  at  Hospital. 

Visiting  days:    Every  day  from  nine  a.  m.  to  five  p.  m. 


HOSPITALS 
FOR    CRIMINAL   INSANE 


DIRECTORY  35 

Dannemora  State  Hospital 

(For  male  convicts  declared  insane  while  serving  a  sentence  for  a 
felony). 

Under  the  management  of  the  Superintendent  of  State  Prisons. 
Dannemora,  Clinton  Co. 

Resident  Officers 

JOHN  R.  Ross,  M.  D.,  -         Medical  Supt 

BLAKELY  R.  WEBSTER,  M.  D.,  First  A sst.  Physician 

HAROLD  R.  ROBERT,  M.  D.,  Senior  A  sst.  Physician 

THEODORE  D.  REED,  M.  D.,  Asst.  Physician 

(Vacancy)      -  Medical  Interne 

JAMES  H.  KURTZ,  Steward 

No.  Patients Men    520,  Women    0,  Total    520 

No.  Employees Men    102,  Women  13,  Total   114 

Located  at  Dannemora,   N.  Y.,  on  the  Chateaugay  branch  of  the 
Delaware  and  Hudson  railroad,  20  miles  from  Plattsburgh. 
Long  Distance  Telephone  "  State  Hospital." 

Visiting  days:  Every  day  except  Sundays  and  holidays,  two  to  four 
p.  in. 


26  DIRECTORY 

Matteawan  State  Hospital 

(For  insane  committed  by  orders  of  courts  of  criminal  jurisdiction 
and  for  persons  convicted  of  petty  crimes  or  misdemeanors — not 
felons — becoming  insane  while  undergoing  sentence;  also  patients  in 
other  State  hospitals  still  exhibiting  criminal  tendencies.) 

Under  the  management  of  the  Superintendent  of  State  Prisons. 
Beacon,  (Formerly  Fishkill-on-Hudson)  Dutche»»  Co. 

Resident  Officers 

RAYMOND  F.  C.  KIEB,  M.  D.,  -      Medical  Sup' t 
JOSEPH  W.  MOORE,  M.  D.,         -           -           -          First  Asst.  Physician 

GEORGE  A.  SHARP,  M.  D.,  Senior  Asst.  Physician 

LEWIS  J.  SMITH,  M.  D.,  -        Senior  Asst.  Physician 

A.  STUART  FERGUSON,  M.  D.,         -  Asst.  Physician 

GEORGE  T.  POLK,  M.  D.,  -       Asst.  Physician 

(Vacancy)        -  Medical  Interne 

W.  A.  THOMAS,  Steward 

No.  Patients Men  738,  Women  122,  Total  860 

No.  Employees...  Men  139,  Women    40,  Total  179 

Fifty-eight  miles  from  New  York  city,  on  the  New  York  Central  and 
Hudson  River  railway.  It  is  also  accessible  by  the  West  Shore  and 
the  Erie,  to  Newburg;  thence  by  ferry  to  Beacon.  The  institution 
may  be  reached  from  the  Hudson  River  railroad  station,  by  an 
electric  railway,  which  runs  within  one-half  mile  of  the  hospital; 
also  public  conveyances  at  the  station. 

Telephone,  236. 

Visiting  days:  Every  day  except  Sundays  and  holidays,  two  to  five 
p.  m. 


LICENSED  INSTITUTIONS 


DIRECTORY  29 

Society  of  the  New  York  Hospital 

Bloomingdale  Hospital,  White  Plains,  N.  Y. 

No.  of  Patients Men  143,    Women  166,    Total  309 

WILLIAM  L.  RUSSELL,  M.  D.,  Medical  Sup V 
CHARLES  I.  LAMBERT,  M.  D.,  -  First  Asst.  Physician 
GEORGE  S.  AMSDEN,  M.  D.,  -  Second  Asst.  Physician 

ROSE  PRINGLE,  M.  D.,        -  Woman  Physician 

KARL  M.  BOWMAN,  M.  D.,  Asst.  Physician 

GEORGE  W.  HENRY,  M.  D.,  -     Asst.  Physician 

JOSEPH  EIDSON,  M.  D.,  Asst.  Physician 

HARRY  M.  PFEIFFER,  M.  D.,  -      Asst.  Physician 

JAMES  J.  WAYGOOD,  M.  D.,     -  Asst.  Physician 

RAYMOND  S.  CRISPELL,  M.  D.,      -  Medical  Interne 

SAMUEL  B.  LYON,  M.  D.r  Emeritus  Medical  Sup" t 

Accessible  by  Harlem  railway,  the  New  York,  Westchester  and 
Boston  railway,  and  trolley.  Preference  given  to  applications  for 
the  admission  of  curable  patients,  many  of  whom  are  received  for  less 
than  remunerative  rates  or  free.  Voluntary  as  well  as  committed 
patients  are  received.  The  hospital  is  dependent  for  support  almost 
entirely  upon  receipts  from  private  patients  to  whom  it  offers  superior 
accommodations  and  care. 

Long  Distance  Telephone,  No.  2000  White  Plains. 

New  York  office,  8  W.  i6th  Street,  at  noon. 

New  York  Telephone,  8700  Chelsea. 


Dr.  Bolton's  Home 

Beacon,  -  Dutches*  Co. 

JAMES  R.  BOLTON,  M.  D.,  -       Physician  in  Charge 

A  private  home  for  nervous  invalids  and  selected  cases  of  nervous 
and  mental  diseases.  Only  female  cases  received.  Number  limited 
to  four.  Opposite  the  city  of  Newburgh.  One  and  one-half  hours 
from  New  York  City,  via  the  New  York  Central  and  Hudson  River 
Railroad.  Trains  arrive  and  depart  every  two  hours  daily. 

Long  Distance  Telephone 


30  DIRECTORY 

Dr.  Bond's  House 

960  North  Broadway. 
Yoiikers,          -  -        Westcliester  Co. 

GEORGE  F.  M.  BOND,  M.  D.,    Owner  and  Physician  in  Charge 
ASHLEY  SCOVEL,  M.  D.,  Assistant  Physician 

On  North  Broadway  overlooking  the  Hudson  river.  Accessible  in 
thirty  minutes  from  New  York  city  via  N.  Y.  Central  and  Hudson 
River  R.  R.,  or  by  subway.  From  subway,  2426.  Street,  New  York 
City,  take  Park  avenue  car  to  Roberts  avenue.  From  R.  R.  station 
in  Yonkers,  take  Park  avenue  trolley  to  Palisade  and  Roberts  avenue, 
walk  west  one  block  to  North  Broadway,  and  north  on  North  Broad- 
way, a  walk  of  seven  minutes. 

Number  of  patients  limited  to  eight.  Prices  for  all  services,  includ- 
ing hydrotherapy,  on  application. 

Local  and  Long  Distance  Telephone,  883  Yonkers. . 


Breezehurst  Terrace 

Whitestonc,              ...  Long  Island,  N.  Y.  City 

D.  A.  HARRISON,  M.  D.,    -  Consulting  Physician 

D.  R.  LEWIS,  M.  D.,      -  Physician  in  Charge 

S.  EDWARD  FRETZ,  M.  D.,  -          Clinical  Assistant 

Direct  electric  train  service  from  New  York  City,  Pennsylvania 
Station,  time  35  minutes.  By  motor,  Queensboro  Bridge.  By  trolley, 
Queensboro  Bridge  and  change  at  Flushing.  From  Brooklyn,  either 
by  trolley  to  Corona,  or  Subway  to  Manhattan,  and  via  Long  Island 
Railroad.  Number  limited  to  35.  Voluntary  patients  (alcoholic 
and  drug  habitues)  received. 

Motor  sent  for  patients.  The  sanitarium  is  ten  minutes  from  rail- 
road station. 

New  York  office,  58  Central  Park  West,  corner  of  66th  Street,  near 
Subway. 

New  York  City  'phone,  260  Columbus. 
Sanitarium  Telephone,  213-J  Flushing. 


DIRECTORY  31 

Brigham  Hall  Hospital 

Canandaijerna,  •  -  •  Ontario  Co. 

ROBERT  G.  COOK,  M.  D.,  -    Physician  in  Charge 

HENRY  C.  BURGESS,  M.  D.,     -  Assistant  Physician 

Situated  on  Bristol  street,  one  mile  from  the  New  York  Central  and 
Northern  Central  and  Rochester  and  Eastern  stations.  Accessible  by 
public  taxicabs.  Number  of  patients  limited  to  seventy. 

Telephone,  Brigham  Hall. 


Dr.  Brooks'  House 

Rye,        -  ....         Westchester  Co. 

SWEPSON  J.  BROOKS^  M.  D.,  -     Physician  in  Charge 

A  private  sanitarium  for  the  care  of  mental,  neurological,  alcoholic 
and  drug  cases.     Number  limited  to  7.   Rates  on  application. 

Long  Distance  Telephone 


Dr.  Combes'  Sanitarium 

Corona,  ...  New  York  City 

E.  T.  MURRAY,  M.  D.,  Physician  in  Charge 

J.  J.  MULCAHY,  M.  D.,  ...       Asst.  Physician 

The  Sanitarium  is  located  at  the  juncture  of  Jackson  and  Astoria 
Aves.,  Corona,  overlooking  Flushing  Bay  and  may  be  reached  as  fol- 
lows :  from  Manhattan  take  Flushing  or  Flushing  Bridge  trolley  car  at 
Queensboro  Bridge,  sgth  Street  and  2nd  Avenue  (loop  2) ;  from  Brook- 
lyn take  Grand  Street  trolley  car  to  Jackson  Avenue,  then  Flushing 
or  Flushing  Bridge  trolley  car  to  Institution.  Number  of  patients 
limited  to  46. 

Rates  on  application. 

Telephone,  Newtown  1077. 


32  DIRECTORY 

Craig  House 

Beacon,  ...  Dutciicss  County 

CLARENCE  T.  SLOCUM,  M.  D.       )     /•>/••        •     ^, 
EDWARD  G.  STOUT,  M.  D.  [    Physicians  in  Charge 

Craig  House  sanitarium  consists  of  two  properties  of  exceptional 
beauty,  Craig  House  and  Wodenethe,  located  on  the  southern  edge 
of  Beacon,  overlooking  the  Hudson  River.  Craig  House  accommo- 
dates sixteen  patients  and  Wodenethe  has  accommodations  for 
fifteen.  Both  voluntary  and  committed  cases  are  received.  The 
highest  grade  of  care  is  provided  for  mental  invalids. 

Beacon  is  on  the  east  bank  of  the  Hudson,  fifty-eight  miles  from 
New  York  City,  on  the  main  line  of  the  New  York  Central  Railroad. 
The  sanitarium  is  two  miles  from  the  railway  station. 

Telephone,  80  and  138  Beacon. 

New  York  office:  616  Madison  Avenue. 

Hours:  2  to  4  Monday  and  Wednesday  afternoons. 

Telephone   Plaza  1470. 


Genesee  Sanitarium 

Syracuse,  -  -  Onondaga  Co. 

HERSEY  G.  LOCKE,  M.  D.,  Physician  in  Charge 

CHAUNCEY  N.  ^GRAVES,  -         Resident  Physician 

Located  at  915  West  Genesee  street.  A  private  institution  for  the 
care  of  mental  and  nervous  affections,  drug  and  alcoholic  addicts. 
Number  of  patients  limited  to  14. 

Terms  on  application. 

Long  Distance  Telephone,  James  1084 


Glenmary 

Owego,  .....  Tioga  Co. 

ARTHUR  J.  CAPRON,  M.  D.,  Physician  in  Charge 

A  private  sanitarium  for  the  care  and  treatment  of  selected  cases  of 
mild  mental  and  nervous  diseases.  Special  treatment  for  drug  addic- 
tion and  alcoholism.  Excellent  accommodations  for  feeble-minded 
cases.  Detached  cottages  for  suitable  cases. 

About  one  mile  from  railroad  stations,  where  public  carriages  may 
be  obtained.  Accessible  by  Erie,  Delaware,  Lackawanna  and  Western 
and  Lehigh  Valley  railroads.  Number  of  patients  limited  to  50. 
Terms  on  application. 

Long  Distance  Telephone,  77,  Owego,  N.  Y. 


DIRECTORY  33 

Greenmont-on-the-Hudson 

Post  Office,  Ossining,  -  \Vcstclicstcr  Co. 

RALPH  WAIT  PARSONS,  M.  D.,  -          Physician  in  Charge 

Location,  one  mile  from  the  New  York  Central  R.  R.  station  at 
Ossining.  Only  selected  cases  of  mental  or  nervous  diseases  received. 
Number  of  patients  accommodated  limited  to  three.  Only  women 
are  admitted.  House  is  conducted  on  the  private  family  plan.  Rates 
for  board,  services  of  special  nurse,  medical  care  and  treatment,  on 
application.  Enquiries  may  be  made,  or  interviews  may  be  arranged 
by  telephone. 

P.  O.  and  telegraph  address,  Ossining,  N.  Y. 
Long  Distance  Telephone,  365,  Ossining,  N.  Y. 


Interpines 

Goshen,  Orange  Co. 

FREDERICK  W.  SEWARD,  M.  D.,    -  -    Physician  in  Charge 

FREDERICK  W.  SEWARD,  Jr.,  M.  D.,    -         Assistant  Physician 

Licensed  to  care  for  fifty-six  patients 

Sixty  miles  from  New  York  city,  on  the  Erie  railway. 

Long  Distance  Telephone,  Goshen  117. 


Dr.  Kellogg's  House 

Riverclale,  New  York  City 

THEODORE  H.  KELLOGG,  M.  D.,          -        Physician  in  Charge 

Located  on  the  corner  of  Riverdale  Lane  and  Albany  Post  Road, 
opposite  Van  Cortlandt  Park  parade  ground. 

To  be  reached  by  Broadway  subway  to  242d  St. ,  and  then  Broadway 
trolley  to  253d  St.,  one  block  from  the  house.  •  Number  of  patients 
limited  to  seven. 

Rates  $75  per  week,  including  a  trained  nurse. 

Address  letters  to  Dr.  Theo.  H.  Kellogg,  Riverdale,  New  York  city. 
Office  phone,  No.  36  Kingsbridge,  New  York  City. 


34  DIRECTORY 

Knickerbocker  Hall 

Amityville,  •  •  Long:  Inland 

WM.  T.  LOUDEN,       -  -  Proprietor 

WM.  E.  SYLVESTER,  M.  D.,  Physician  in  Charge 

A  private  sanitarium  devoted  to  the  care  and  treatment  of  nervous 
and  mild  mental  affections.  Conducted  upon  the  family  plan. 
Number  limited  to  31.  Terms  on  application. 

Located  on  the  south  side  of  Long  Island  on  the  Great  South  Bay. 

Reached  from  the  Pennsylvania  Station,  33d  St.  and  yth  Ave., 
N.  Y.  C.,  or  from  E.  34th  St.  Ferry.  N.  Y.  C.  via  Long  Island  City,  or 
from  the  Flatbush  Ave.  Station,  Brooklyn  (Subway  terminal). 

Automobile  sent  for  patients  on  application. 
Telephone,  370  Amityville. 


Long  Island  Home 

Amityville,  •  Long  Island 

O.  J.  WILSEY,  M.  D.,  Physician  in  Charge 

Thirty-two  miles  from  New  York,  reached  by  automobile  via  Mer- 
rick  Road  or  by  the  Montauk  division  of  the  Long  Island  railroad  from 
Flatbush  Avenue  station,  Brooklyn,  East  34th  street  Ferry  via  Long 
Island  City  or  from  Pennsylvania  station,  Manhattan.  Five  minutes 
from  station.  Number  limited  to  138. 

Long  Distance  Telephone,  No.  2  Amityville. 


Dr.  Lyon's  Sanitarium 

Binghamton,  -  -  Broome  Co. 

CHARLES  G.  LYON,  M.  D.,  Physician  in  Charge 

A  private  sanitarium  devoted  to  the  care  and  treatment  of  selected 
cases  of  mild  mental  and  nervous  diseases.  Number  limited  to  10 
patients.  Terms  on  application. 

Long  Distance  Telephone,  621-W  Binghamton,  N.  Y. 


DIRECTORY  35 

Dr.  MacDonald's  House 

Central  Valley,         -  -         Orange  Co. 

CARLOS  F.  MACDONALD,  M.  D., 

Proprietor  and  Physician  in  Charge 
T.  D.  MACDONALD,  M.  D.,  Associate  Physician 

One  mile  from  Central  Valley  Station  on  the  Newburgh  branch 
of  the  Erie  railway,  49  miles  from  New  York  City  via  Hudson  Tunnels, 
Chambers  and  West  23d  Street  Ferries  and  fourteen  miles  from  Bea- 
con, on  New  York  Central  Railway  via  ferry  to  Newburgh,  and  Erie 
Railway  to  Central  Valley.  Harriman,  on  the  main  line  of  the  Erie 
Railway,  is  but  two  and  a  half  miles  distant.  Dr.  MacDonald's  con- 
veyance will  meet  visitors  at  the  railway  stations  if  due  notice  is  given. 
Only  selected  cases  of  mental  and  nervous  diseases  received.  Num- 
ber limited  to  24. 

Rates,  etc.,  may  be  ascertained  on  application  to  Dr.  MacDonald  at 
his  New  York  office,  15  East  48th  Street,  on  Mondays,  Wednesdays 
and  Fridays,  10  to  12  o'clock,  and  by  appointment  or  at  the  sanitarium. 

New  York  Telephone,  Murray  Hill  72G1 

Long  Distance  Telephone,  No.  63  Central  Valley. 

Western  Union  Telegraph. 


Marshall  Sanitarium 

Troy,  Rensselaer  Co. 

CHRISTOPHER  J.  PATTERSON,  M.  D.,      -        Physician  in  Charge 
(Vacancy)  -         -         -         -         * .       Assistant  Physician 

Situated  on  Linden  ave.,  one  mile  from  Union  railway  station. 
Accessible  from  depot  and  from  all  parts  of  the  city  by  the  Albia  line 
of  electric  street  cars.  Number  of  patients  limited  to  90. 

Rates  on  application. 

Long  Distance  Telephone. 


36  DIRECTORY 

The  Pines 

Auburn,  Cayuga  Co. 

FREDERICK  SEFTON,  M.  D.,  -    Physician  in  Charge 

WILFRED  SEFTON,  B.  S.,  M.  D.,  Assistant  Physician 

Licensed  in   1891. 

Accessible  by  the  New  York  Central  and  Hudson  River  railway, 
and  the  Lehigh  Valley  railway.  Two  and  a  half  hours  by  rail  from 
Rochester,  four  from  Albany  and  Buffalo,  seven  from  New  York  city. 

Minimum  weekly  rate  for  care,  treatment  and  maintenance,  $60.00. 
Telephone,  No.  261. 


Providence  Retreat 

Buffalo,  Erie  Co. 

(Under  the  charge  of  the  Sisters  of  Charity.) 

JOHN  J.  TWOHEY,  M.  D.,  -        -          Physician  in  Charge 

JOSEPH  F.  SHANAHAN,  M.  D.,          -        -       Assistant  Physician 

Located  on  Main  street,  corner  of  Kensington  avenue.  Distance 
from  Union  railway  station,  four  miles.  Accessible  by  electric  street 
car  line.  Minimum  rate  for  care  and  treatment  of  private  patients, 
$20  per  week.  Licensed  to  care  for  200  patients. 

Long  Distance  Telephone,  Crescent  49 


River  Crest 

Astoria,  L.  I.,                                    -  -             New  York  City 

WM.  ELLIOTT  DOLD,  M.  D.,  -      Physician  in  Charge 

WARD  SAMPSELL,  M.  D.,  Senior  Assistant  Physician 

LEONARD  M.  BROWN,  M.  D.,  Junior  Assistant  Physician 

A  private  Sanitarium,  situated  in  Astoria,  L.  I.,  opposite  the  foot  of 
East  io8th  St.,  New  York  City.  Very  accessible  from  any  part  of 
the  Greater  City  via  automobile,  subway  or  elevated  raiload.  At  the 
Grand  Central  Station,  42d  St.,  take  the  Astoria  car,  Queensboro  tube 
for  Ditmars  Ave.,  (terminus  of  the  road.)  The  Sanitarium  is  five  min- 
utes walk  from  this  station.  River  Crest  can  be  quickly  reached  via 
the  2d  Avenue  elevated  across  the  Queensboro  Bridge  to  Ditmars  Ave., 
Address  Astoria,  L.  I.  Rates  for  care  and  treatment,  including  hydro- 
therapy,  electrotherapy,  etc.,  on  application.  Number  limited  to  132. 
Sanitarium  'phone,  Astoria  820.  Automobile  sent  for  patients  if  desired. 

New  York  City  office,  616  Madison  Avenue,  corner  of  58th  Street,  3  to 
4  daily.  Telephone,  1470  Plaza. 


DIRECTORY  37 

St.  Vincent's  Retreat 

(Under  the  charge  of  the  Sisters  of  Charity) 
Harrison,  ...  Westchester  Co. 

SWEPSON  J.  BROOKS,  M.  D.,  Physician  in  Charge 

LEON  E.  PEELER,  M.  D.,  Associate  Physician 

(Vacancy)       -  Assistant  Physician 

H.  ERNST  SCHMID,  M.  D.,  -            -        Consulting  Physician 

For  women  only.  Fifty  minutes  from  New  York  on  the  New  York, 
New  Haven  &  Hartford  railway.  Trains  leave  Grand  Central  Station, 
New  York  city,  for  Harrison,  every  hour,  from  9  a.  m.  to  7  p.  m. 
Number  of  patients  limited  to  150.  Applications  for  admission  should 
be  made  to  the  Sister  in  Charge,  at  St.  Vincent's  Retreat. 

Long  Distance  Telephone,  502  Rye. 


Sanford  Hall 

Flushing,  .  -  -  New  York  City 

W.  STUART  BROWN,  M.  D.,         -  -        Physician  in  Charge 

(Vacancy)  Assistant  Physician 

Situated  about  one-fourth  of  a  mile  from  the  Main  Street  Station 
of  the  Long  Island  railroad,  and  easily  accessible  by  carriage  or  auto- 
mobile from  any  part  of  Greater  New  York.  To  reach  Flushing  from 
Borough  of  Manhattan,  take  Long  Island  railroad  from  Pennsylvania 
Station  to  Main  Street,  Flushing,  or  take  Flushing  trolley  from 
Queensboro  Bridge.  From  the  Borough  of  Brooklyn,  the  most  con- 
venient route  is  by  the  Myrtle  Avenue  Elevated  to  Fresh  Pond  Sta- 
tion, and  from  there  to  Flushing  by  trolley. 

Consultation  in  Borough  of  Manhattan,  by  appointment.     Number 
of  patients  limited  to  44.     Rates  on  application. 
Telephone,  17  Flushing:. 


38  DIRECTORY 

Spring  Hill  Sanitarium 

Hastings-on-Hudson,  -  -  Westchester  Co. 

D.  W.  MCFARLAND,  M.  D.,  Superintendent 

G.  F.  WASHBURNE,  M.  D.,       -  Physician  in  Charge 

Situated  in  a  private  estate  of  53  acres  overlooking  the  Hudson 
River,  one  mile  from  station  on  N.  Y.  Central  lines.  Forty  minutes 
from  Grand  Central  station.  Entrance  on  Broadway  at  Main  Street. 
Easily  accessible  from  New  York  City  via  Broadway.  Taxi  service 
from  station.  For  the  care,  treatment  and  custody  of  selected  cases 
of  mild  mental,  nervous  and  habit  cases. 

Number  of  patients  limited  to  25.  Rates  $40  to  $100  per  week. 
Inspection  invited.  Appointments  at  the  sanitarium  and  in  New 
York  City  may  be  arranged  by  telephone.  Western  Union  telegraph. 

Telephone,  800  Hastings-on-Hudson. 


United   States    Public   Health   Service 
Hospital  No.  28 

(For  Discharged  Soldiers,  Insane  Beneficiaries  of  the 
Bureau  of   War  Risk  Insurance) 

Dansville,  N.  Y.,  -  -  Livingston  Co. 

DONALD  L.  Ross,  Surgeon  (Reserve]  in  Charge 

MELVIN  J.  TAYLOR,  -      Surgeon  (Reserve} 

PHILIP  B.  MATZ,  Surgeon  (Reserve] 

WM.  B.  KENNA,        -  -     P.  A.  Surgeon  (Reserve} 
WM.  A.  MAC!NTYRE,     -            -          P.  A.  Surgeon  (Reserve} 

GEORGE  R.  STALTER,  -                 Acting  Assistant  Surgeon 

A.  R.  PILLS  BURY,  -         Acting  Assistant  Surgeon 

WALTER  G.  DOHERTY,  Past  Asst.  Dental  Surgeon  (Reserve} 

First  patient  admitted  May  10,  1919.     Census  July  i,  1920 — 210 
Dansville  is  located  on  the  main  line  of  the  Delaware  and  Lackawana 
Railroad  from  New  York  to  Buffalo.     Can  also  be  reached  over  the 
Erie  and  Dansville  and  Mount  Morris  Railroads  from  Rochester. 


DIRECTORY  39 

Waldemere 

Mamaroneck,  -  -  \VestelicHter  Co. 

E.  N.  CARPENTER,  M.  D.,        -  Physician  in  Charge 

W.  B.  CUNNINGHAM,  M.  D.,  -      Assistant  Physician 

Thirty  minutes  from  New  York  city  on  the  New  York,  New  Haven 
R.  R.  Trains  leave  New  York  city  on  the  hour  and  half  hour.  Acces- 
sible also  by  trolley  from  New  York  city. 

Waldemere  is  one  mile  from  Mamaroneck  depot,  where  carriages 
may  be  taken  or  local  street  railway.  Number  of  patients  limited  to 
12.  House  is  conducted  on  the  private  family  plan  and  only  selected 
cases  of  mental  and  nervous  diseases  or  drug  addiction  received. 

Rates  may  be  ascertained  on  application  to  Dr.  Carpenter  at  his  New 
York  office,  58  Central  Park  West,  (corner  66th  street)  from  9  to  n  a.  m. 
(except  Sundays)  and  by  appointment,  or  at  Mamaroneck. 

New  York  Telephones,  260  Columbus,  2887  Columbus. 
Mamaroneck  Telephone,  31  Mamaroneck. 


West  Hill 

Ficldntoii  Road  between   Riverdale  Avenue  and 

Broadway  at  252d  Street,  .          New   York  City 

FLAVIUS  PACKER,  M.  D.,  Physician  in  Charge 

HERMAN   E.  ..SCHORR,  M.  D.,  -      Assistant  Physician 

AUGUSTUS  B.  DYKEMAN,  M.  D.,         -  Assistant  Physician 

A  private  sanitarium  in  New  York  city,  opposite  and  overlooking 
the  Van  Cortlandt  Park  parade  ground.  Built  on  the  cottage  plan. 

Number  of  patients  limited  to  twenty-three.  Separate  cottages  if 
desired.  Reached  most  conveniently  by  Broadway  subway  express 
trains  to  Van  Cortlandt  Park  station.  Short  walk  or  trolley  to  the 
sanitarium.  Greystone  house  and  cottages  of  the  sanitarium  on  the 
hill  west  of  252d  Street.  By  New  York  Central  Railroad  to  Riverdale; 
ten  minutes'  drive  from  station.  Easily  accessible  by  automobile  or 
carriage  from  New  York  or  Yonkers. 

Telegraph  and  Post  Office  Address,  West  Hill, 
Riverdale,  New  York  City. 

Telephone  : 

40  Kingsbridge,  New  York  City. 

The  White  Oak  Farm,  at  Pawling,  N.  Y.,  is  now  open  for  the  recep*- 
tion  of  patients,  under  the  management  of  the  physicians  at  West 

Hill.     Cottage  plan. 

Telephone,  20  Pawling 


THE 
INSANITY  LAW 


THE  INSANITY  LAW 

Revised  to  July  i,  1920 

AN  ACT  in  relation  to  the  insane,  constituting  chapter  twenty- 
seven  of  the  consolidated  laws. 

The  People  of  the  State  of  New    York,  represented  in  Senate  and 
Assembly,  do  enact  as  follows  : 

Chapter  27  of  the  Consolidated  Laws 

INSANITY  LAW 

Article  i.  Short  title;  definitions  (§§  i,  2). 

2.  State  commission  in  lunacy  (§§  3-19) . 

3.  Institutions  for  the  care,  treatment  and  custody  of  the  in 

sane  (§§  4066). 

4.  Commitment,  custody  and  discharge  of  the  insane  (§§80-99) 

5.  Retirement  of  state  hospital  employees  (§§  110-122). 

6.  Matteawan  state  hospital  for  insane  criminals  (§§  130-145) . 

7.  Dannemora  state  hospital  for  insane  convicts  (§§  150-163). 

8.  Pathological  hospital  and  institute  (§§  170-172). 

9.  Laws  repealed;  when  to  take  effect  (§§  190,  191). 


ARTICLE  I 

Short  Title:  Definitions 

Section  i.  Short  title. 
2.  Definitions. 

§  i.  Short  title.  This  chapter  shall  be  known  |as  the  "Insanity 
Law." 

§  2.  Definitions.  Poor  person.  The  term  u  poor  person,"  when  used 
in  this  chapter,  means  a  person  who  is  unable  to  maintain  himself  and 
having  no  one  legally  liable  and  able  to  maintain  him. 

Indigent  person.  The  term  "indigent  person,"  when  used  in  this 
chapter,  means  one  who  has  not  sufficient  property  to  support  himself 
while  insane,  and  the  members  of  his  family  lawfully  dependent  upon 
him  for  support. 

Institution.     The  term  "institution,"  when  used|  in  this  chapter 


42  THE  INSANITY  LAW 

means  any  hospital,  asylum,  building,  buildings,  house  or  retreat, 
authorized  by  law  to  have  the  care,  treatment  or  custody  of  the  insane. 

Commission.  The  term  "commission,"  when  used  in  this  chapter, 
means  the  state  commission  in  lunacy,  designated  as  the  state  hospital 
commission. 

Patient.  The  term  "  patient*"  when  used  in  this  chapter,  means  an 
insane  person  committed  to  an  institution  according  to  the  provisions 
of  this  chapter.  (Thus  amended  by  chapter  121,  Laws  of  1912). 

ARTICLE   II 

State  Hospital  Commission 

Section  3.  Appointment,    qualifications,  terms  of  office  and   salaries 
of  commissioners. 

4.  Office  and  clerical  force  of  commission;  medical  inspector. 

5.  Official  seal  and  execution  of  papers. 

6.  General  powers. 

7.  General  powers  as  to  state  hospitals. 

8.  Official  visits. 

9.  Visitation  and  inspection  of  certain  institutions. 

10.  Regulations  and  forms. 

11.  Annual  report. 

12.  State  hospital  districts;  how  defined. 

13.  Change  of  hospital  districts  and  reassignment  of  patients 

14.  Record  of  medical  examiners. 

15.  Record  of  patients. 

16.  Institutions  to  furnish  information  to  commission. 

17.  Commission  to  provide  for  the  prospective  wants  of  the 

insane. 

18.  Hospital  attorneys.     (Repealed  by  Chap.  768,  L.  1911.) 

19.  Bureau  of  deportation  for  examination  of  insane,  idiotic,  im- 

becile and  epileptic  immigrants,  alien  and  non-resident 
insane,  and  to  attend  to  the  deportation  or  removal 
thereof;  power  and  duties.  (Thus  amended  by  chapter 
121,  Laws  of  1912). 

§  3.  Appointment,  qualifications,  terms  of  office  and  salaries  of  com- 
missioners. There  shall  continue  to  be  a  state  commission  in  lunacy, 
to  be  designated  the  state  hospital  commission,  consisting  of  three 
members,  to  be  designated  state  hospital  commissioners,  all  of  whom 
shall  be  citizens  of  this  state.  One  of  them  shall  be  a  reputable  phy- 
sician, a  graduate  of  an  incorporated  medical  college,  of  at  least  ten 
years'  experience  in  the  actual  practice  of  his  profession,  who  has  had 


THE  INSANITY  LAW  43 

five  years'  actual  experience  in  the  care  and  treatment  of  the  insane 
in  an  institution  for  the  insane.  One  of  such  commissioners  shall  be  a 
reputable  attorney  and  counsellor-at-law  in  the  courts  of  this  state  of 
not  less  than  ten  years'  standing.  The  third  commissioner  shall  be  a 
reputable  citizen.  The  medical  commissioner  shall  receive  an  annual 
salary  of  seven  thousand  five  hundred  dollars,  and  twelve  hundred 
dollars  in  lieu  of  his  traveling  and  incidental  expenses,  payable  semi- 
monthly. Each  of  the  other  commissioners  shall  receive  an  annual  sal- 
ary of  five  thousand  dollars,  and  twelve  hundred  dollars,  in  lieu  of  his 
traveling  and  incidental  expenses,  payable  semi-monthly.  The  com- 
mission shall  choose  one  of  its  members  to  be  chairman  thereof.  The 
medical  member  of  the  commission  shall  hold  office  during  good  be- 
havior. The  full  term  of  office  of  a  commissioner  other  than  the 
medical  commissioner  shall  be  six  years.  Any  commissioner  may  be 
removed  by  the  governor  for  cause,  stated  in  writing,  after  an  oppor- 
tunity has  been  given  him  to  be  heard  thereon.  The  commissioners 
shall  be  appointed  by  the  governor,  by  and  with  the  advice  and  con- 
sent of  the  senate.  The  commissioners  in  lunacy  now  in  office  shall  be 
continued  as  state  hospital  commissioners  for  the  respective  terms  for 
which  they  were  appointed.  (Thus  amended  by  chapter  121,  Laws  of 
1912). 

§  4.  Office  and  clerical  force  of  commission;  engineers,  medical  and 
o.ther  inspectors.  The  commission  shall  be  provided  by  the  proper 
authorities  with  a  suitably  furnished  office  in  the  state  capitol.  It 
may  employ  a  secretary,  a  stenographer,  inspectors,  engineers  and 
such  other  employees  as  may  be  necessary.  The  salaries  and  reason- 
able expenses  of  the  commission,  inspectors,  engineers,  experts  and  of 
the  necessary  clerical  assistants  shall  be  paid  by  the  treasurer  of  the 
state  on  the  warrant  of  the  comptroller,  out  of  any  moneys  appropri- 
ated for  the  support  of  the  insane. 

The  commission  may  also  appoint  a  medical  inspector,  who  shall  be 
a  well  educated  physician,  a  graduate  of  an  incorporated  medical 
college,  and  who  shall  have  had  at  least  five  years'  actual  experience 
in  an  institution  for  the  care  and  treatment  of  the  insane.  Such  in- 
spector shall  receive  an  annual  salary  to  be  fixed  by  the  commission 
subject  to  the  approval  in  writing  of  the  governor  and  the  action  of 
the  legislature,  not  to  exceed  five  thousand  five  hundred  dollars,  and 
all  his  actual  and  necessary  traveling  expenses  incurred  by  him  in  the 
performance  of  -his  duties,  which  shall  be  audited  and  paid  in  the  same 
manner  as  the  other  expenses  of  the  commission.  He  shall,  subject 
to  the  direction  of  the  commission,  visit  and  inspect  the  several  state 
hospitals  and  other  institutions  for  the  insane  which  are  subject  to  the 
supervision,  visitation  and  inspection  of  the  commission.  He  shall, 


44  THE  INSANITY  LAW 

subject  to  the  direction  of  the  commission,  make  an  examination,  so 
far  as  the  circumstances  may  permit,  of  the  patients  confined  in  such 
hospitals  and  institutions,  especially  those  admitted  thereto  since  his 
preceding  visit,  giving  such  as  may  request  it  suitable  opportunity  to 
converse  with  him  apart  from  the  officers  and  attendants.  He  shall 
perform  such  other  duties  as  may  be  prescribed  and  directed  by  the 
commission.  The  commission  may  employ  such  other  experts,  regu- 
larly or  from  time  to  time,  as  may  be  necessary  to  enable  it  to  advise 
the  purchasing  committee  and  the  state  hospitals  as  to  purchasing, 
handling  and  consumption  of  supplies;  the  operation  of  the  farms,  and 
engineering  matters. 

The  commission  shall  furnish  the  purchasing  committee  clerical  and 
advisory  help.  Expenses  of  the  purchasing  committee  shall  be  appor- 
tioned by  the  commission  among  the  hospitals  on  such  basis  as  it  deems 
equitable.  (Thus  amended  by  chapter  121,  Laws  of  1912). 

§  5.  Official  seal  and  execution  of  papers. — The  commission  shall 
have  an  official  seal.  Every  process,  order  or  other  paper  issued  or 
executed  by  the  commission,  may,  by  the  direction  of  the  commission, 
be  attested,  under  its  seal,  by  its  secretary  or  by  any  member  of  the 
commission,  and  when  so  attested  shall  be  deemed  to  be  duly  executed 
by  the  commission. 

§  6.  General  powers. — The  commission  is  charged  with  the  execution 
of  the  laws  relating  to  the  custody,  care  and  treatment  of  the  insane, 
as  provided  in  this  chapter,  not  including  feeble-minded  persons  and 
epileptics  as  such  and  idiots.  They  shall  examine  all  institutions, 
public  and  private,  authorized  by  law  to  receive  and  care  for  the 
insane,  and  inquire  into  their  methods  of  government  and  the  manage- 
ment of  all  such  persons  therein.  They  shall  examine  into  the  con- 
dition  of  all  buildings,  grounds  and  other  property  connected  with 
any  such  institution,  and  into  all  matters  relating  to  its  management, 
For  such  purpose  each  commissioner  shall  have  free  access  to  the 
grounds,  buildings  and  all  books  and  papers  relating  to  any  such 
institution.  All  persons  connected  with  any  such  institution  shall 
give  such  information,  and  afford  such  facilities  for  any  such  examina- 
tion or  inquiry  as  the  commissioners  may  require.  The  commission 
may,  by  order,  appoint  a  competent  person  to  examine  the  books, 
papers  and  accounts,  and  also  into  the  general  condition  and  manage- 
ment of  any  institution  to  the  extent  deemed  necessary  and  specified 
in  the  order.  The  commission  may  endeavor  to  secure  legislation 
from  congress  to  provide  more  effectually  for  the  removal  of  alien  and 
non-resident  insane  and  may  expend  a  reasonable  sum  therefor  from 
the  moneys  appropriated  for  the  use  of  the  hospitals.  The  commission 
may  permit  any  religious  or  missionary  corporation  or  society  to  erect 


THE  INSANITY  Law  45 

a  building  on  the  grounds  of  any  state  hospital,  for  the  holding  of  re- 
ligious services,  to  be  used  exclusively  for  the  benefit  of  the  inmates 
and  employees  of  the  state  hospital,  subject  to  such  conditions  as  may 
be  imposed  by  the  commission. 

§  7.  General  powers  as  to  state  hospitals. — The  commission  shall, 
subject  to  the  powers  hereinafter  granted  to  boards  of  managers: 

1.  Have  the  general  oversight  of  the  state  hospitals,  and  the  con- 
trol of  all  the  property  thereof;  transfer  such  old  machinery,  boilers 
or  equipment   as  are  not   needed  by  the  state  hospital   in  which   the 
same  is  located  to  some  other  state  hospital  having  use  for  such 
machinery,  or  sell  or  dispose  of  the  same  or  any  metal  or  rags,  in  the 
discretion  of  the  commission,  the  money  received  therefor  to  be  paid 
into  the  state  treasury,  and  see  that  the  purposes  of  such  hospitals 
are  carried  into  effect  by  the  boards  of  managers  according  to  law. 
(Thus  amended  by  chapter  349,  Laws  of  1916) . 

2.  Accept  and  hold  in  behalf  of  the  state,  if  for  the  public  interest, 
a  grant,  gift,  devise  or  bequest,  of  money  or  property,  to  the  state  of 
New  York,  to  the  commission  in  lunacy,  or  to  any  state  hospital  or  the 
managers  thereof,  heretofore  or  hereafter  made  in  trust  for  the  main- 
tenance or  support  of  an  insane  person  or  persons  in  a  state  hospital 
or  hospitals,  or  for  any  other  legitimate  purpose  connected  with  any 
such  hospital  or  hospitals.    The  commission  shall  cause  each  said  gift, 
grant,  devise  or  bequest  to  be  kept  as  a  distinct  fund,  and  shall  invest 
the  same  in  the  manner  provided  by  the  laws  of  this  state  as  the  same 
now  exist,  or  shall  hereafter  be  enacted,  relating  to  securities  in  which 
the  deposits  in  savings  banks  may  be  invested.     But  the  commission 
may,  in  its  discretion,  deposit  in  a  proper  trust  company  or  savings 
bank  during  the  continuance  of  the  trust,  any  fund  so  left  in  trust  for 
the  life  of  a  single  person,  and  shall   adopt  rules   and  regulations 
governing  the   deposit,  transfer  or  withdrawal  of  such  fund.    The 
commission  shall  on  the  expiration  of  any  trust  as  provided  in  any 
instrument  creating  the  same,  dispose  of  the  fund  thereby  created  in 
the  manner  provided  in  such  instrument.    The  commission  shall  in- 
clude in  its  annual  report  a  statement  showing  what  funds  are  so  held 
by  it  and  the  condition  thereof. 

§  8.  Official  visits. — The  commission,  or  a  majority  thereof,  shall 
visit  every  such  state  hospital  jointly  or  by  a  majority  of  the  commis- 
sion and  every  such  private  institution  by  one  member  of  the  commis- 
sion at  least  twice  in  each  calendar  year.  Such  visits  shall  be  made 
on  such  days  and  at  such  hours  of  the  day  or  night,  and  for  such  length 
of  time,  as  the  visiting  commissioner  may  choose.  But  each  commis- 
sioner may  make  such  other  visits  as  he  or  the  commission  may  deem 
necessary.  Each  visit  shall  include,  to  the  fullest  extent  deemed 

4 


46  THE  INSANITY  LAW 

necessary,  an  inpection  of  every  part  of  each  institution,  and  all  the 
out-houses,  places,  buildings  and  grounds  belonging  thereto  or  used 
in  connection  therewith.  The  commissioners  shall,  from  time  to  time, 
make  an  examination  of  all  the  records  and  methods  of  administration, 
the  general  and  special  dietary,  the  stores  and  methods  of  supply, 
and,  as  far  as  circumstances  may  permit,  of  every  patient  confined 
therein,  especially  those  admitted  since  the  preceding  visit,  giving 
such  as  may  require  it  suitable  opportunity  to  converse  with  the  com- 
missioners apart  from  the  officers  and  attendants.  They  shall,  as 
far  as  they  deem  necessary,  examine  the  officers,  attendants  and 
other  employees,  and  make  such  inquiries  as  will  determine  their  fitness 
for  their  respective  duties.  At  the  next  regular  or  special  meeting  of 
the  commission,  after  any  such  a  visit,  the  visiting  commissioners  shall 
report  the  result  thereof,  with  such  recommendations  for  the  better 
management  or  improvement  of  any  such  institution,  as  they  may 
deem  necessary.  But  such  recommendations  shall  not  be  contrary  to 
the  doctrines  of  the  particular  school  of  medicine  adopted  by  such 
institutions.  The  commissioners  shall,  at  least  once  each  year,  at  a 
time  to  be  appointed  by  the  commission,  meet  the  managers  of  such 
institutions,  or  as  many  of  the  number  as  practicable,  in  conference, 
and  consider,  in  detail,  all  questions  of  management  and  improve- 
ment of  the  institution,  and  they  or  one  or  more  of  them  with  the 
managers  shall  inspect  the  institution  or  such  parts  thereof  as  they 
may  deem  necessary  and  shall  also  send  to  the  managers,  in  writing, 
if  approved  by  a  majority  of  the  commissioners,  such  recommenda- 
tions in  regard  to  the  management  and  improvement  of  the  intitu- 
tion  as  they  may  deem  necessary  or  desirable. 

§  9.  Visitation  and  inspection  of  certain  institutions. — Any  member 
of  the  commission  or  the  medical  inspector  may  visit  any  sanitarium 
or  other  institution,  wherein  sick  or  infirm  persons  are  received,  cared 
for  or  treated,  for  the  purpose  of  ascertaining  whether  insane  persons 
are  confined  therein  without  authority,  and  contrary  to  the  provisions 
of  law.  All  persons  having  charge  of,  and  connected  with,  any  such 
sanitarium  or  institution  shall  permit  any  member  of  the  commis- 
sion and  the  medical  inspector  to  have  free  access  to  any  portion 
thereof,  and  shall  give  such  information  and  afford  such  facilities  for 
inspection  or  inquiry,  as  the  member  of  the  commission,  or  the  medical 
inpector  making  such  visit  and  inspection,  may  require.  (Thus 
amended  by  chapter  121,  Laws  of  1912.) 

§  10.  Regulations  and  forms.  —  The  commission  shall  make  such 
regulations  in  regard  to  the  correspondence  of  the  insane  in  custody 
as  in  its  judgment  will  promote  their  interests,  and  it  shall  be  the 
duty  of  the  proper  authorities  of  each  institution  to  comply  with  and 


THE  INSANITY  LAW  '  47 

enforce  such  rules  and  regulations.  All  such  insane  shall  be  allowed 
to  correspond  without  restriction  with  the  county  judge  and  district 
attorney  of  the  county  from  which  they  were  committed.  The  books 
of  record  and  blank  forms  for  the  official  use  of  the  hospitals  shall  be 
uniform,  and  shall  be  approved  by  the  commission. 

§  ii.  Annual  report. — The  commission  shall,  annually,  report  to  the 
legislature  its  acts  and  proceedings  for  the  year  ending  June 
thirtieth  last  preceding,  with  such  facts  in  regard  to  the  management 
of  the  institutions  for  the  insane  as  it  may  deem  necessary  for  the 
information  of  the  legislature,  including  estimates  of  the  amounts 
required  for  the  use  of  the  state  hospitals  and  the  reasons  therefor; 
and  also  so  much  of  the  annual  reports  made  to  the  commission  by  the 
State  Charities  Aid  Association  and  by  the  boards  of  managers  of  the 
state  hospitals  as  the  commission  may  deem  necessary  for  the  consider- 
ation of  the  legislature.  The  commission  shall  determine  from  time 
to  time  the  capacity  of  each  of  the  state  hospitals  and  shall  incorporate 
a  statement  of  such  capacity  in  its  annual  report  to  the  legislature. 
(Thus  amended  by  chapter  118,  Laws  of  1916.) 

§  12.  State  hospital  districts;  how  defined. — The  state  commission  in 
lunacy  shall  divide  the  state  into  as  many  state  hospital  districts  as  there 
are  state  hospitals.  No  county  shall  be  divided  in  such  classification, 
unless  more  than  one  of  the  existing  state  hospitals  be  situated  within 
such  county.  Whenever  the  commission  shall  deem  it  necessary  to 
more  conveniently  care  for  the  insane  in  the  various  hospitals,  it  may 
change  the  limits  of  such  hospital  districts.  When  a  new  state  hospital 
shall  be  established,  it  shall  again  divide  the  state  into  hospital  dis- 
tricts. Before  any  change  or  re-establishment  of  hospital  districts 
shall  be  made,  the  board  of  managers  of  each  hospital  to  be  affected 
thereby  shall  be  notified  by  the  commission  that  they  may  be  heard  in 
regard  thereto,  at  a  time  and  place  to  be  specified  in  said  notice.  Such 
hospital  districts  shall  be  so  defined  that  the  number  of  patients  in 
each  district  shall  be  in  proportion,  as  nearly  as  practicable,  to  the 
accommodations  which  are  or  may  be  provided  by  the  state  hospital  or 
hospitals  within  such  district.  The  commission  may  provide  for  the 
commitment  of  patients  from  any  part  of  the  city  of  New  York  to  any 
state  hospital  located  in  the  city  of  New  York,  or  to  the  Kings  Park 
State  Hospital,  or  to  the  Central  Islip  State  Hospital,  or  to  the  Mohan- 
sic  State  Hospital.  (Thus  amended  by  chapter  310,  Laws  of  1910.) 

§  13.  Change  of  hospital  districts  and  reassignment  of  patients. — 
When  a  change  or  re-establishment  of  state  hospital  districts  shall  be 
made,  or  a  new  state  hospital  district  created,  the  commission  shall 
make  a  report  thereof,  designating  the  counties  included  within  each 
-district  affected  thereby,  and  file  same  with  the  secretary  of  state, 


48  THE  INSANITY  LAW 

and  send  a  copy  to  the  managers  and  superintendent  of  each  state 
hospital  affected  by  such  change,  and  to  each  judge  of  a  court  01 
record,  each  county  superintendent  of  the  poor,  and  each  count) 
clerk  in  the  state,  affected  by  such  change,  to  be  riled  in  his  office. 

§  14.  Record  of  medical  examiners. — Any  physician  who  receives  i 
certificate  as  a  medical  examiner  in  lunacy  shall  file  such  original  cer 
tificate  in  the  office  of  the  clerk  of  the  county  where  he  resides,  anc 
forward  a  certified  copy  thereof  to  the  office  of  the  commission  withir 
ten  days  after  such  certificate  is  granted.  The  commission  shall  keej 
in  its  office  a  record  showing  the  name,  residence  and  certificate  o: 
each  duly  qualified  medical  examiner,  and  shall  immediately  file  in  it! 
office,  when  received,  each  duly  certified  copy  of  a  medical  examiner'! 
certificate,  and  advise  the  examiner  of  its  receipt  and  filing.  Nc 
examiner  shall  be  qualified  until  he  has  received  from  the  commissior 
an  acknowledgment  of  the  receipt  and  filing  of  his  certificate. 

§  15.  Record  of  patients. — The  commission  shall  keep  in  its  office 
and  accessible  only  to  the  commissioners,  their  secretary  and  clerk 
except  by  the  consent  of  the  commission  or  one  of  its  members,  or  ai 
order  of  a  judge  of  a  court  of  record,  a  record  showing: 

1.  The  name,  residence,  sex,  age,  nativity,  occupation,  civil  conditioi 
and  date  of  commitment  of  every  patient  in  custody  in  the  severa 
institutions   for  the   care   and   treatment   of   insane    persons  in.  the 
state,  and  the  name  and  residence  of  the  person  making  the  petitior 
for  commitment,  and  of  the  persons  signing  such  medical  certificate 
and  of  the  judge  making  the  order  of  commitment. 

2.  The  name  of  the  institution  where  each  patient  is  confined,  th( 
date  of  admission,  and  whether  brought  from  home  or  another  institu 
tion  and  if  from  another  institution,  the  name  of  such  institution,  b} 
whom  brought,  and  the  patient's  condition.  * 

3.  The  date  of  the  discharge  of  each  patient  from  such  institution  sine* 
the  fifteenth  day  of  May,  eighteen  hundred  and  eighty-nine,  whether 
recovered,  improved  or  unimproved,  and  to  whose  care  committed. 

4.  If  transferred,   for  what   cause,  and  to  what  institution:  and  i: 
dead,  the  date  and  cause  of  death. 

§  16.  Institutions  to  furnish  information  to  commission.  —  The 
authorities  of  the  several  institutions  for  the  insane  shall  furnish  tc 
the  commission  the  facts  mentioned  in  the  last  preceding  section,  anc 
such  other  obtainable  facts  relating  thereto  as  the  commission  may 
from  time  to  time,  in  the  just  and  reasonable  discharge  of  its  duties 
require  of  them,  with  the  opinion  of  the  superintendent  thereon,  i] 
requested.  The  superintendent  or  person  in  charge  of  such  institu 
tions,  whether  public  or  private,  must,  within  ten  days  after  the 
admission  of  an  insane  person  thereto,  cause  a  true  copy  of  the 


THE  INSANITY  LAW  49 

medical  certificate  and  order  on  which  such  person  shall  have  been 
received,  to  be  made  and  forwarded  to  the  office  of  the  commission; 
and  when  a  patient  shall  be  discharged,  transferred  or  shall  die 
therein,  such  superintendent  or  person  in  charge  shall,  within  three 
days  thereafter,  send  the  information  to  the  office  of  the  commission, 
in  accordance  with  the  forms  prescribed  by  it. 

§  17.  Commission  to  provide  for  the  prospective  wants  of  the  insane.  — 
The  commission  shall  provide  sufficient  accommodations  for  the  pro- 
spective wants  of  the  poor  and  indigent  insane  of  the  state.  To  pre- 
vent overcrowding  in  the  state  hospitals,  it  shall  recommend  to  the 
legislature  the  establishment  of  other  state  hospitals,  in  such  parts  of 
the  state  as  in  its  judgment  will  best  meet  the  requirements  of  such 
insane.  It  shall  also  furnish  to  the  legislature  in  each  year,  an  esti- 
mate of  the  probable  number  of  patients  who  will  become  inmates  of 
the  respective  state  hospitals  during  the  year  beginning  July  first 
next  ensuing,  and,  unless  otherwise  provided  by  law,  an  estimate  of 
the  cost  of  all  the  additional  buildings  and  equipments,  if  any,  which 
will  be  required  to  carry  out  the  provisions  of  this  chapter  relating  to 
the  care,  custody  and  treatment  of  the  poor  and  indigent  insane  of 
the  state.  .  No  money  shall  be  expended  for  the  erection  of  additional 
buildings, or  for  unusual  repairs  or  improvements  of  state  hospitals, 
except  upon  plans  and  specifications  to  be  approved  by  the  commission 
and  the  governor.  No  municipality  of  the  state  shall  have  the  power  to 
modify  or  change  plans  or  specifications  for  the  erection,  repair  or 
improvement  of  state  hospital  buildings  or  the  plumbing  or  sewerage 
connected  therewith.  The  commission  may  secure  a  blanket  policy 
of  insurance  covering  any  or  all  of  the  buildings,  property  or  fixtures 
of  the  state  hospitals.  (Thus  amended  by  chapter  118,  Laws  of  1916). 

§•  18.  (Repealed  by  chapter  769,  Laws  of  1911,  and  by  chapter  121 
Laws  of  1912) . 

Bureau  of  Deportation 

§  19.  Bureau  of  deportation  for  examination  of  insane,  idiotic,  imbe- 
cile and  epileptic  immigrants,  alien  and  non-resident  insane,  and  to 
attend  to  the  deportation  or  removal  thereof;  powers  and  duties. — 
There  shall  be  established  by  the  commission  a  bureau  of  deportation 
for  the  examination  of  insane,  idiotic,  imbecile  and  epileptic  immi- 
grants, and  alien  and  non-resident  insane,  and  to  attend  to  the  depor- 
tation or  removal  thereof,  which  shall  consist  of  a  medical  examiner 
and  such  number  of  medical  or  lay  deputies  as  may  be  necessary,  to  be 
appointed  by  the  commission.  The  medical  examiner  shall  be  a  repu- 
table physician,  a  graduate  of  an  incorporated  medical  college,  of  at 
least  ten  years'  actual  experience  in  the  practice  of  his  profession,  and 


50  THE  INSANITY  LAW 

of  at  least  five  years'  experience  in  the  care  and  treatment  of  the  com- 
mitted or  alleged  insane  in  the  New  York  state  hospitals,  or  elsewhere. 
The  medical  examiner  shall  receive  an  annual  salary  of  five  thousand 
dollars,  to  be  paid  in  the  same  manner  as  the  salaries  of  the  assistants 
and  clerks  of  the  commission  in  lunacy.  The  medical  examiner  shall 
hold  office  during  good  behavior,  and  be  removable  by  the  commission 
for  cause,  stated  in  writing,  after  an  opportunity  to  be  heard  has  been 
given.  The  medical  examiner  and  deputies  shall  devote  their  entire 
time  to  the  performance  of  the  duties  hereby  imposed  upon  them.  The 
commission  shall  endeavor  to  arrange  for  the  continued  official  recog- 
nition of  such  bureau  by  the  proper  authorities  of  the  United  States 
and  other  states  for  carrying  out  the  purposes  of  this  section.  Ar- 
rangements may  be  made  by  the  commission  for  suitable  offices  in  the 
city  of  New  York  for  the  accommodation  of  such  bureau,  and  the  em- 
ployment of  such  other  persons  as  may  be  deemed  necessary  by  them 
for  the  proper  carrying  into  effect  of  the  provisions  and  intent  of  this 
section.  Such  bureau  shall  maintain  a  careful  inspection  and  observa- 
tion of  the  methods  and  facilities  for  examining  immigrants  for  men- 
tal disease  and  defect  at  the  port  of  New  York,  and  shall,  from  time  to 
time,  report  to  the  commission  upon  the  methods  employed,  and  their 
efficiency,  and  shall  render  reports  regarding  the  prevalence  of  insanity 
among  aliens  and  the  foreign  born  population  of  the  state  and  shall 
make  suitable  recommendations  as  to  means  by  which  insane,  idiotic, 
imbecile  and  epileptic  aliens  may  be  deported  or  returned.  And  such 
bureau  shall  examine  and  inspect  alien  and  non-resident  insane  per- 
sons, and  alleged  insane  persons  in  the  state  hospitals,  other  public 
institutions  and  elsewhere  where  such  insane  persons  and  alleged  in- 
sane persons  may  be,  for  the  purpose  of  determining  whether  they  are 
suitable  cases  for  deportation  under  the  immigration  law,  or  removal 
under  the  provisions  of  this  section  to  other  countries  or  states.  The 
superintendents,  or  persons  in  charge  of  such  hospitals,  institutions  or 
other  places  shall  notify  such  bureau  of  all  such  cases  coming  under 
their  jurisdiction  and  shall  furnish  all  aid  and  information  possible  to 
accomplish  the  deportation  or  removal  of  such  aliens  and  non-resi- 
dents. The  bureau  shall  notify  the  proper  authorities  having  control 
of  the  enforcement  of  the  immigration  laws  at  the  ports  of  entry  of 
such  immigrants  as  are  found  to  be  insane,  idiotic,  imbecile  or  epilep- 
tic, and  such  insane  aliens  as  are  or  become  public  charges,  or  who  are 
in  the  country  in  violation  of  law,  and  shall  arrange  for  their  deporta- 
tion in  accordance  with  the  provisions  of  such  laws.  And  in  the  case 
of  non-residents  they  shall  notify  the  state  commission  of  the  location 
of  the  same  and  in  all  suitable  cases  the  commission  shall  grant  the  board 
the  necessary  authority  for  the  investigation  and  removal  of  such 


THE  INSANITY  LAW  51 

non-resident  insane  persons.  The  bureau  may,  upon  the  request  of 
any  indigent  insane  persons,  or  the  written  consent  of  their  relatives, 
legal  representatives,  or  qualified  friends,  subject  to  the  approval  of 
the  commission,  remove  such  patients  to  any  country,  state  or  place 
to  which  they  may  properly  belong.  In  making  such  transfers  and  re- 
movals the  bureau  shall,  so  far  as  is  practicable,  employ  nurses  and  shall 
employ  female  nurses  or  attendants  to  accompany  female  patients 
unless  it  is  certified  by  the  medical  superintendent  that  such  patients 
are  in  condition  to  travel  alone  with  safety.  The  duties  hereby  im- 
posed upon  such  bureau  shall  be  performed  under  the  supervision  of 
the  commission,  and  in  accordance  with  rules  adopted  by  it.  The 
commission  may  impose  such  other  duties  on  such  bureau  as  it  may 
deem  necessary  and  proper  for  carrying  out  the  general  purposes  and 
intent  of  this  section,  and  may  also  from  time  to  time,  when  necessary, 
detail  the  medical  examiner  or  a  medical  deputy  of  said  bureau  to  per- 
form the  duties  of  the  medical  inspector.  The  medical  examiner  and 
deputies  of  such  bureau  shall  be  empowered  to  administer  an  oath 
when  necessary  to  persons  giving  information  relative  to  cases  under 
investigation. 

The  chief  examiner  and  examiner  now  members  of  the  board  of  alien- 
ists shall  be  continued  as  the  medical  examiner  and  a  deputy  examiner 
of  the  bureau  of  deportation,  at  the  same  salaries  now  received  by 
such  examiners.  (Thus  amended  by  chapter  121,  Laws  of  1912). 

§  20.  Powers  of  commission  as  to  detention  of  insane  or  apparently 
insane  persons  prior  to  commitment. — The  commission  is  charged 
with  the  duty  of  seeing  that  the  laws  relating  to  the  detention,  care 
and  treatment  of  insane  or  apparently  insane  persons  who  are  under 
examination  as  to  their  sanity  or  who  are  detained  or  confined  pending 
commitment  and  prior  to  their  transfer  to  institutions  for  the  insane, 
are  executed.  The  commission  shall: 

1.  Make  recommendations  to  and  advise  with  health  officers  and  other 
officers  having  duties  to  perform  in  respect  to  the  detention,  care  and 
treatment  of  such  insane  or  apparently  insane  persons,  as  to  the  per- 
formance of  such  duties  and  as  to  the  requirements  of  places  in  which 
such  persons  are  to  be  detained,  and.  relating  generally  to  the  pro- 
tection and   promotion   of  the  physical  and   mental  welfare  of  such 
persons. 

2.  Visit  or  cause  to  be  visited  and  inspected  buildings  rooms  or 
other  places  permanently  established  in  any  city,  village  or  town,  as 
provided  by  law,  for  the  detention  or  confinement  of  insane  or*appar- 
ently  insane  persons,  pending  an  examination  as  to  their  sanity,  and 
prior  to  their  transfer  to  an  institution  for  the  insane. 

3.  Examine  into  the  qualifications  of  persons  employed  as  provided 


52  THE  INSANITY  LAW 

by  law  in  the  care  of  insane  or  apparently  insane  persons,  pending 
their  examination,  commitment  and  transfer,  and  recommend  the 
discharge,  for  reasons  stated  in  writing,  of  persons  so  employed  who 
are  found  by  the  commision  to  be  imcompetent. 

4.  Employ  a  medical  inspector  and  such  other  persons  as  may  be 
necessary  to  carry  into  effect  the  purposes  of  this  section. 

If  upon  an  inspection,  made  as  authorized  by  this  section,  it  shall  be 
ascertained  that  any  building,  room  or  place  established  and  regularly 
used  in  any  city,  town  or  village  for  the  detention  and  confinement  of 
insane  or  apparently  insane  persons  pending  examination  and  commit- 
ment, and  prior  to  transfer,  does  not  conform  to  the  requirements  of 
law,  or  if  the  care  and  treatment  of  persons  confined  therein  are 
inadequate,  the  commission  shall  make  a  recommendation  in  writing 
to  the  board  or  officer  of  the  town,  village  or  city  whose  duty  it  is  to 
establish  and  maintain  such  building,  room  or  place,  describing  the 
defect  or  failure  and  stating  how  the  same  shall  be  remedied.  It  shall 
be  the  duty  of  such  board  or  officer  to  cause  such  defect  or  failure  to 
be  remedied  so  as  to  conform  to  such  recommendations.  If  such 
.defect  or  failure  is  not  so  remedied  within  a  reasonable  time,  the  com- 
mission may  apply  to  a  justice  of  the  supreme  court  at  special  term  in 
the  judicial  district  in  which  such  building,  room  or  place  is  situated 
for  an  order  directing  that  such  defect  or  failure  shall  be  remedied  as 
provided  therein.  At  least  ten  days' notice  of  such  application  shall 
be  given  to  the  board  or  officer  to  whom  such  recommendation  was 
made.  If  upon  a  hearing  of  such  application  it  shall  be  ascertained 
that  the  recommendation  of  the  commission  is  reasonable  and  in 
accordance  with  law,  and  has  not  been  complied  with,  an  order  shall 
be  granted  directing  such  board  or  officer  to  make  such  alterations 
and  provide  such  changes  in  the  building,  room,  place,  or  methods  of 
care  and  treatment  complained  of  in  the  application,  and  describing 
specifically  the  alterations  and  changes  directed  to  be  made  by  such 
order.  For  the  purpose  of  carrying  into  effect  the  provisions  of  this 
section,  each  commissioner,  and  any  duly  authorized  agent  of  the 
commission,  shall  have  free  access  to  the  buildings,  rooms  and  places 
provided  for  the  detention  or  confinement  of  insane  or  apparently 
insane  persons,  pending  an  examination  as  to  their  sanity  and  prior  to 
their  transfer  to  an  institution  for  the  insane.  All  persons  connected 
with  any  such  building,  room  or  place  shall  give  such  information, 
and  afford  such  facilities  for  examination  and  visitation  thereof  as  the 
commission  may  desire.  If  any  health  officer  or  superintendent  of  a 
state  hospital  has  knowledge  of  any  violation  of  the  law  relating  to 
the  detention  or  confinement,  care  and  treatment  of  an  insane  or 
apparently  insane  person  on  the  part  of  a  police  officer  or  any  other 


THE  INSANITY  LAW  53 

municipal  officer,  he  shall  report  the  same  to  the  commission,  who 
may  take  such  action  in  respect  thereto  as  it  shall  deem  proper.  Pro- 
vided that  nothing  in  this  section  shall  apply  to  pavilion  F  of  the 
Albany  Hospital  located  in  the  city  of  Albany.  (As  amended  by 
chapter  306,  Laws  of  1914) . 

ARTICLE  III 

Institutions  for  the  Care,  Treatment  and  Custody  of 
the  Insane 

Section  40.      State  hospitals  for  the  poor  and  indigent  insane. 
4o-a.  Mohansic  State  Hospital. 

41.  Managers  of  state  hospitals  and  their  terms  of  office. 

42.  Appointment  and  removal  of  managers. 

43.  General  powers  and  duties  of  boards  of  managers. 

44.  Officers. 

45.  General  powers  and  duties  of  superintendent. 

46.  Special  provisions   relating  to   Long  Island  State  Hospi- 

tal, Kings  Park  State  Hospital,  Central  Islip  State  Hos- 
pital and  Manhattan  State  Hospital. 

47.  Purchasing  steward  for  Long  Island  State  Hospital,  Kings 

Park    State   Hospital,    Manhattan   State   Hospital,   and 
Central  Islip  State  Hospital. 

48.  Meetings  of  superintendents. 

49.  Salaries  of  officers  and  wages  of  employees. 

50.  Salaries  of  certain  officers  and  wages  of  certain  employees 

prescribed. 

51.  Quarterly  estimates  of  expenses;  emergency  fund. 

52.  Powers  and  duties  of  superintendent  as  treasurer. 

53.  Monthly  statement  of  receipts  and  expenditures ;  vouchers. 

54.  Action  to  recover  mone^ys  due  the  hospital. 

55.  General  powers  and  duties  of  the  steward. 

56.  Purchases  and  contracts. 

57.  Official  oath. 

58.  Actions   against   commissioners   in   lunacy,  managers   or 

officers  of  state  hospitals. 

59.  Private  instittitions  for  the  insane. 

60.  Recommendations  of  commission. 

61.  Visitors  to  state  hospitals. 

62.  Manhattan  State  Hospital;  lease  of  property. 

63.  Manhattan  State  Hospital;  docks,  ferry  boats  and  removal 

of  dead  bodies. 


54  THE  INSANITY  LAW 

64.  Acquisition   of    property   for    use   of   state  hospitals  by 

condemnation  and  otherwise. 

65.  Erection,    alteration,  repairs  and  improvements  of  state 

hospital  buildings. 

66.  Streets  and  railroads  through  hospital  lands. 

§  40.  State  hospitals  for  the  poor  and  indigent  insane. — There  shall 
continue  to  be  the  following  hospitals  for  the  care  and  treatment  of  the 
poor  and  indigent  insane  of  the  state,  who  are  citizens  thereof,  which 
are  hereby  declared  to  be  corporations;  but  other  insane  persons,  who 
are  citizens  of  the  state,  may  be  admitted  when  there  is  room  therein 
for  them: 

1.  Utica  State  Hospital,  in  the  city  of  Utica,  in  the  county  of  Oneida. 

2.  Willard   State  Hospital,  in  the   town   of  Ovid,  in  the  county  of 
Seneca. 

3.  Hudson  River  State  Hospital,  near  the  city  of  Poughkeepsie,   in 
the  county  of  Dutchess. 

4.  Buffalo  State  Hospital,  in  the  city  of  Buffalo,  in  the  county  of  Erie. 

5.  Middletown  State  Homeopathic  Hospital,  in  the  city  of  Middle- 
town,  in  the  county  of  Orange. 

6.  Binghamton    State  Hospital,  in  the  city  of  Binghamton,   in  the 
county  of  Broome. 

7.  Rochester  State  Hospital,  in  the  city  of  Rochester,  in  the  county 
of  Monroe. 

8.  Saint  Lawrence  State  Hospital,  in  the  city  of  Ogdensburg,  in  the 
county  of  Saint  Lawrence. 

9.  Gowanda  State  Homeopathic  Hospital,  in  the  town  of  Collins,  in 
the  county  of  Erie. 

10.  Brooklyn  State  Hospital,  at  Flatbush,  in  the  borough  of  Brooklyn, 
in  the  city  of  New  York.     (Amended  by  Chapter  608,  Laws  of  1916) . 

11.  Manhattan  State  Hospital,  on  Ward's  Island,  in  the  city  of  New 
York. 

12.  Kings  Park   State   Hospital,  "at   Kings   Park,  in   the   county  of 
Suffolk. 

13.  Central   Islip  State  Hospital,  at  Central  Islip,  in  the  county  of 
Suffolk. 

14.  Mohansic  State  Hospital,  at  Yorktown  Heights,  in  the  county  of 
Westchester.     (Thus  amended  by  chapter  121,  Laws  of  1912). 

§  4o-a.  The  Mohansic  State  Hospital,  at  Yorktown,  in  the  county  of 
Westchester,  is  hereby  established.  The  governor  shall  appoint, 
within  ten  days  after  the  taking  effect  of  this  section,  a  board  of 
managers  for  such  hospital,  to  consist  of  seven  members,  of  whom 
not  less  than  two  shall  be  women.  The  managers  first  appointed 


THE  INSANITY  LAW  55 

hereunder  shall  serve  for  terms  of  one,  two,  three,  four,  five,  six  and 
seven  years,  respectively,  from  January  first,  nineteen  hundred  and 
ten,  and  their  successors  shall  be  appointed  for  full  terms  of  seven 
years,  as  provided  in  the  insanity  law.  The  governor  in  making  such 
first  appointment  shall  designate  the  terms  for  which  each  manager  is 
appointed.  All  the  provisions  of  the  insanity  law  relating  to  state 
hospitals  for  the  insane  shall  apply  to  the  hospital  hereby  established, 
except  as  herein  otherwise  provided,  to  the  same  effect  and  extent 
and  in  the  same  manner  as  such  provisions  apply  to  the  other  state 
hospitals  for  the  insane.  (Added  by  chapter  57,  Laws  of  1910.) 

§  41.  Managers  of  state  hospitals  and  their  terms  of  office. — Each 
state  hospital  shall  be  under  the  control  and  management  of  a  board 
of  managers,  subject  to  the  statutory  powers  of  the  commission. 
The  governor  shall  appoint  such  board  to  consist  of  seven  members, 
of  whom  not  less  than  two  shall  be  women,  for  each  state  hospital. 
The  terms  of  office  of  the  members  of  the  several  boards  as  now  con- 
stituted, of  one,  two,  three,  four,  five,  six  and  seven  years,  shall  re- 
spectively expire  on  the  thirty-first  day  of  December  in  each  year, 
dating  from  the  year  nineteen  hundred  and  five.  After  the  expira- 
tion of  such  terms  managers  shall  be  appointed  for  terms  of  seven 
years.  If  a  vacancy  occur  otherwise  than  by  expiration  of  term,  the 
appointment  of  a  manager  to  fill  such  vacancy  shall  be  for  the 
unexpired  term  of  the  manager  whose  office  became  vacant. 

§  42.  Appointment  and  removal  of  managers.— The  members  of  the 
boards  of  managers  shall  be  appointed  by  the  governor,  by  and  with 
the  advice  and  consent  of  the  senate,  as  often  as  a  vacancy  shall  occur 
by  expiration  of  term,  or  otherwise;  and  they  may  severally  continue 
in  office  until  their  successors  are  appointed  and  have  qualified;  and 
they  shall  be  subject  to  removal  by  the  governor  after  having  been 
notified  in  writing  of  the  reasons  for  the  proposed  removal,  and  hav- 
ing been  given  an  opportunity  to  be  heard.  All  managers  shall  reside 
in  the  hospital  district  in  which  the  hospital  is  situated  for  which  they 
are  respectively  appointed.  At  least  a  majority  of  the  managers  of  the 
Central  Islip  State  Hospital,  and  of  the  Kings  Park  State  Hospital,  shall 
be  residents  of  the  city  of  New  York.  No  person  shall  be  eligible  to  the 
office  of  manager  who  is  either  an  elective  state  officer  or  a  member  of 
the  legislature,  and  if  any  such  manager  shall  become  a  member  of  the 
legislature  or  an  elective  state  officer,  his  office  as  manager  shall 
thereupon  be  vacant.  The  managers  of  the  Middletown  State  Homeo- 
pathic Hospital  and  of  the  Gowanda  State  Homeopathic  Hospital  may 
be  appointed  from  any  portion  of  the  state,  and  shall  be  adherents  of 
homeopathy.  If  any  manager  fails  for  a  period  of  six  months  to  attend 
the  regular  meetings  of  the  board  of  which  he  is  a  member,  the  secre- 


56  THE  INSANITY  LAW 

tary  of  the  board  shall  notify  the  governor  of  such  absence,  with  any  : 
explanation  thereof  which  may  be  submitted  by  such  manager,  and 
unless  the  governor  shall,  within  thirty  days  thereafter,  notify  the 
secretary  that  he  has  excused  such  manager  for  such  absence,  the  office 
of  such  manager  shall  thereupon  be  deemed  to  be  vacant;  and  if  any 
manager  fails  for  one  year  to  attend  such  regular  meetings,  his  office 
shall  become  vacant.  When  any  such  vacancy  shall  occur,  the  board 
by  resolution  shall  so  declare  and  a  certified  copy  of  such  resolution 
shall  forthwith  be  transmitted  by  the  board  to  the  commission  and  to 
the  governor.  In  the  month  of  January  of  each  year  the  secretary  of 
the  board  of  managers  shall  transmit  to  the  governor  a  statement 
showing  the  record  of  attendance  of  each  manager  at  meetings  of  the 
board,  the  number  and  dates  of  visits  to  the  hospital,  with  a  state- 
ment of  any  other  work  for  the  hospital,  performed  by  such  manager, 
which  such  manager  may  request  to  have  transmitted  to  the  governor. 

§  43.  General  powers  and  duties  of  boards  of  managers. — Subject  to 
the  statutory  powers  of  the  commission,  boards  of  managers  shall  have 
the  general  direction  and  control  of  all  the  property  and  internal  affairs 
of  the  institutions  for  which  they  are  respectively  appointed,  except 
as  otherwise  provided  by  law.  The  managers  shall  not  receive  any 
compensation  for  their  services,  but  shall  receive  actual  and  necessary 
traveling  and  other  expenses,  to  be  paid  after  audit  as  other  current 
expenditures  of  the  hospital.  Each  board  shall,  in  October  of  each 
year,  elect  from  among  its  members  a  president  and  a  secretary.  The 
superintendent  shall  personally  submit,  at  each  monthly  meeting  of  the 
board  of  managers,  a  report  showing  changes  in  population,  health  of 
patients,  officers  and  employees;  accidents,  suicides,  unusual  sickness, 
infectious  diseases;  important  occurrences  relating  to  the  welfare  of 
the  patients  and  to  the  management  and  discipline  of  the  employees, 
and  such  other  matters  as  the  board  may  specify.  Each  board  shall : 

1.  Take  care  of  the  general  interests  of  the  hospital  and  see  that  its 
design  is  carried  into  effect,  according  to  law,  and  the  by-laws,  rules 
and  regulations,  made  as  hereinafter  provided. 

2.  Maintain  an  effective  inspection  of  the  hospital,  for  which  purpose 
the  board,  or  a  majority  of  its  members,  shall  visit  and  inspect  the 
hospital  at  least  once  each  month.     Each  board  shall  make  a  written 
report  to  the  commission  and  to  the  governor  within  ten  days  after 
each  inspection,  such  report  to  be  signed  by  each  member  making 
the  inspection.     Such  report  shall  state  in  detail  the  condition  of  the 
hospital  and  of  its  inmates,  and  such  other  matters  pertaining  to  the 
management  and  affairs  thereof  as  in  the  opinion  of  the  board  should 
be  brought  to  the  attention  of  the  commission  or  the  governor,  and 


THE  INSANITY  LAW  57 

may  contain  recommendations  as  to  needed  improvements  in  the  hos- 
pital or  in  its  management. 

3.  Keep  in  a  book  provided  for  that  purpose,  a  fair  and  full  record 
of  their  doings,  which  shall  be  open  at  all  times  to  the  inspection  of 
the  governor  of  the  state,  the  state  hospital  commissioners  or  any  per- 
son appointed  by   the  governor,  the  commission,  or  either  house  of 
the  legislature  to  examine  the  same. 

4.  Hold  regular  meetings  at  least  once  each  month,  and  cause  to  be 
typewritten  within  ten  days  after  each  such  meeting,  the  minutes  and 
proceedings  of  such  meeting,  and  cause  a  copy  thereof  to  be  sent 
forthwith  to  each  member  of  such  board,  to  the  commission  and  to 
the  governor. 

5.  Enter  in  a  book,  kept  at  the  hospital  for  that  purpose,  the  date  of 
each  visit  of  each  manager. 

6.  Make  to  the  commission,  in  July  of  each  year,  a  detailed  report 
of  the  results  of  their  visits  and  inspection,  with  suitable  suggestions 
and  such  other  matters  as  may  be  required  of  them  by  the  com- 
mission, for  the  year  ending  on  the  thirtieth  day  of  June  preceding 
the  date  of  such'report.     Such  report  shall  be  prepared  by  a  commit- 
tee of  the  board,  subject  to  the  approval  of  the  board.     (Thus  amended 
by  chapter  118,  Laws  of  1916). 

7.  Investigate,  hear  and  determine  the  truth  of  all  charges  made 
against  the  superintendent  or  other  officer  or  employee  of  a  hospital, 
issue  subpoenas  and  take  and  hear  testimony  in  respect  to    such 
charges.    A  witness  attending  before  such  board  shall  be  entitled  to 
the  same  fees  as  a  witness  attending  before  a  court  of  record  or  a 
judge  thereof,  which  shall  be  paid  as  other  hospital  charges.     The 
resident  officers  shall  admit  such  managers  into  every  part  of  the  hos- 
pital and  its  buildings,  and  exhibit  to  them  on  demand  all  the  books, 
papers,  accounts  and  writings  belonging  to  the  hospital,  or  pertaining 
to  its  business,  management,  discipline  or  government,  and  furnish 
copies,  abstracts  and  reports  whenever  required  by  them.      (Thus 
amended  by  chapter  121,  Laws  of  1912). 

§  44.  Officers. — The  commission  in  lunacy,  pursuant  to  the  civil  service 
.law  and  the  rules  and  regulations  of  the  state  civil  service  commission, 
shall  appoint,  subject  to  the  approval  of  the  board  of  managers  for 
each  hospital,  as  often  as  a  vacancy  shall  occur  therein,  a  superin- 
tendent. Whenever  a  vacancy  shall  occur  in  the  office  of  superintend- 
ent of  any  state  hospital,  the  commission  in  lunacy,  with  the  approval 
of  the  board  of  managers  of  such  hospital,  may  transfer  to  such  position 
the  superintendent  of  any  other  state  hospital,  subject  to  the  civil 
service  law,  and  subject  to  the  consent  of  the  board  of  managers  of 
such  other  state  hospital.  The  superintendent  shall  be  a  well  educated 


58  THE  INSANITY  LAW 

physician  and  a  graduate  of  an  incorporated  medical  college,  of  at 
least  five  years*  actual  experience  in  an  institution  for  the  care  and 
treatment  of  the  insane.  The  superintendents  and  all  assistant  phy- 
sicians of  homeopathic  hospitals  for  the  insane  shall  be  homeopathic 
physicians,  but  such  homeopathic  physicians  shall  not  be  eligible  to 
appointment  in  or  transfer  to  state  hospitals  that  are  not  for  homeo- 
pathic treatment.  Each  superintendent  shall  be  the  treasurer  of  the 
state  hospital  for  which  he  is  appointed,  unless  the  commission  shall 
designate  a  person  to  act  as  treasurer  as  hereinafter  provided,  and 
before  entering  upon  his  duties  as  such  treasurer  shall  file  with  the 
comptroller  of  the  state  his  undertaking  to  the  people  in  an  amount 
.and  with  sureties  to  be  approved  by  the  state  comptroller,  to  the  effect 
that  he  will  faithfully  perform  his  trust  as  such  treasurer.  The  super- 
intendent may  be  removed  by  a  vote  of  a  majority  of  the  board 
•of  managers  for  cause  stated  in  writing,  after  an  opportunity  has 
been  given  him  to  be  heard  thereon,  and  such  action,  when  approved 
by  the  commission,  shall  be  final.  Pending  the  investigation  of  any 
charges  against  a  superintendent,  and  the  decision  thereon,  the  board 
of  managers  may  suspend  such  superintendent.  The  commission  may 
prefer  charges  of  misconduct  or  incompetency  against  any  superin- 
tendent to  the  board  of  managers  of  the  hospital  of  which  he  is  super- 
intendent, and  the  board  shall  thereupon  investigate  the  truth  of  such 
•charges.  The  powers  and  duties  of  treasurer  in  each  of  the  state 
hospitals  may  be  conferred  upon  the  superintendent  thereof,  or  the 
'Commission  may  designate  a  person  in  its  office  to  act  as  treasurer 
for  all  the  hospitals,  who  shall  have  the  powers,  and  perform  the  duties 
•of  treasurer  as  to  such  hospital,  as  prescribed  in  this  chapter,  and  shall 
perform  such  other  duties  as  the  commission  may  impose.  The  person 
-so  designated,  before  entering  upon  the  performance  of  his  duties  as 
such  treasurer,  shall  file  with  the  comptroller  his  undertaking  in  an 
amount  and  with  sureties  to  be  approved  by  him,  to  the  effect  that  he 
will  faithfully  perform  his  trust  as  such  treasurer. 

§  45.  General  powers  and  duties  of  superintendent. — The  superin- 
tendent of  each  hospital  shall  be  its  chief  executive  officer,  and  in  his 
.absence  or  sickness,  the  first  assistant  physician  or  other  officer 
designated  by  the  superintendent  shall  perform  the  duties,  exercise 
the  powers,  and  be  subject  to  the  responsibilities  of  the  superintend- 
ent. Subject  to  the  by-laws  and  regulations  established  as  hereinaf- 
ter provided  under  the  provisions  of  paragraph  twelve  of  this  section, 
the  superintendent  shall  have  general  superintendence  of  the  buildings, 
grounds  and  farm,  together  with  their  furniture,  fixtures  and  stock, 
and  the  direction  and  control  of  all  persons  therein,  and  subject  to 
such  by-laws  and  regulations  shall: 


THE  INSANITY  LAW  59 

1.  Personally  maintain  an  effective  supervision  and  inspection  of  all 
parts  of  the  hospital  and  generally  direct  the  care  and  treatment  of 
the  patients.    To  this  end  the  superintendent  shall  make  or  cause  to  be 
made  an  examination  of  the  condition  of  each  patient,  within  five  days 
after  his  admission  to  the  hospital,  and  shall  regularly  visit  all  of  the 
wards  or  apartments  for    patients    at  such   times  as   the   rules  and 
regulations  of  the  hospital  shall  prescribe. 

2.  Appoint  such   officers,    including  a   woman    physician  and  such 
employees  as  he  may  think  proper  and  necessary  for  the  economical 
and  efficient  performance  of  the  business  of  the  hospital,  and  prescribe 
their  duties  and,  for   cause   stated   in  writing,  after  an  opportunity 
to  be    Heard,   discharge  any  of    such    employees    in   his  discretion. 
The  number  of  such  officers  and  employees  shall  be  determined  from 
time   to   time   by  the   commission.     The   commission   may,  with  the 
approval  of  the  governor,  abolish   the  office  of  any  such  officers  or 
employees.     The   superintendent  may  remove  any  officer,  for  cause 
stated  in  writing,  after  an  opportunity  to  be  heard,  and  such  action 
shall  be  final.     Upon  any  such  removal  he  shall  make  a  record  thereof, 
with  the  reasons  therefor,  under  the  appropriate  head  in  one  of  the 
books  of  the  hospital.     The  commission  may  authorize  the  superin- 
tendent to  appoint  as  officers  a  dentist,  pharmacist,  and  the  principal 
of  the  training  school.     The  pharmacists  already  in  the  hospital  ser- 
vice  and  participating  in   the   benefits   of  the   retirement   fund  for 
employees  of  the  state  hospitals  as  created  by  chapter  fifty-nine  of  the 
laws  of  nineteen  hundred  and  twelve,  are  hereby  authorized  to  remain 
employees  and  continue  to  participate  in  the  benefits  of  this  act  if 
they  notify  the  retirement  board  as  constituted  by  chapter  fifty-nine, 
laws  of  nineteen  hundred  and  twelve,  within  thirty  days  of  the  passage 

,  of  this  amendment  of  their  desire  to  continue  as  participants  in  such 
fund. 

The  superintendent,  assistant  physicians,  including  the  woman 
.physician,  steward  and  matron  shall  constantly  reside  in  the  hospital, 
or  on  the  premises,  except  as  provided  in  section  forty-nine  of  this 
chapter,  and  shall  be  designated  the  resident  officers  of  the.  hospital. 
The  assistant  physicians,  including  the  woman  physician,  shall  be 
graduates  of  an  incorporated  medical  college,  and  shall  possess  such 
other  qualifications  as  may  be  required  by  law.  (Thus  amended  by 
chapter  618,  Laws  of  1915.) 

3.  Transmit,  by  mail,  to  the  commission  and  to  the  president  of  the 
board  of  managers,  within   five    days  after  any  such  discharge,  in- 
formation of  such  discharge,  and  of  the  cause  thereof.     The  commis- 
sion shall  preserve  the  name  of  such  officer,  or  employee,  with  the  facts 
relating  to  his  discharge,  in  a  book  provided  for  that  purpose. 


60  THE  INSANITY  LAW 

4.  Designate  hospital  attendants  or  employees  to  act  as  special  police- 
men, whose  duty  it  shall  be,  under  the  orders  of  the  superintendent, 
to  arrest  and  return  to  the  hospital  insane  persons  who  may  escape 
therefrom,  and  to  preserve  peace  and  good  order  in  such  hospital  and 
to  fully  protect  the  grounds,  buildings  and  patients.     Such  attendants 
and  employees,  acting  as  policemen,  shall  possess  all  the  powers  of 
peace   officers  on  the  grounds  and  premises  of  such  hospital  and   to 
the  extent  of  one  hundred  yards  beyond  such  grounds.     The  desig- 
nation of  such  attendants  and  employees  as  special  policemen,  in  pur- 
suance hereof,  shall  not  be  deemed  to  supersede,  on  the  grounds  and 
premises  of  such  hospital,  the  authority  of  peace  officers  of  the  juris- 
diction within  which  such  hospital  is  located. 

5.  Give  such  orders  and  instructions  as  he  may  deem  best  calculated 
to  insure  good  conduct,  fidelity  and  economy  in  every  department  of 
labor  and  expense. 

6.  Maintain  salutary  discipline  among  all  who  are  employed  in  the 
institution  and  enforce  strict  compliance  with  his  instructions  and 
uniform  obedience  to  all  rules  and  regulations  of  the  hospital. 

7.  Establish  and  supervise  a  training  school  for  attendants  and 
nurses,  under  rules  and  regulations  of  the  hospital. 

8.  Shall  cause  to  be  held  at  least  two  meetings   of  the  medical 
staff    each    week,    at    which    the    condition    of    patients,   especially 
those  recetttly  admitted,  shall  be  considered,  and  matters  of  medical 
service  generally  shall  be  given  attention.     The  superintendent  shall 
cause  a  complete  clinical  record  to  be  made  of  each  patient,  to  be  kept 
in  such  form  and  to  comprise  such  matters  as  the  commission  may 
direct. 

9.  Cause  full  and  fair  accounts  and  records  of  the  entire  business 
and  operations  of  the  hospital,  to  be  kept  regularly,  from  day  to  day, 
in  books  provided  for  that  purpose. 

10.  See  that  all  such  accounts  and  records  are  fully  made  up  to  the 
last  day  of  June  in  each  year,  and  that  the  principal  facts  and  results, 
with  his    report  thereon,   are  presented   to   the  board  of  managers 
within  thirty  days  thereafter,  who  shall  incorporate  it  in  their  report 
to  the  commission.     The  commission  may  prescribe  the  form  of  and 
the  subjects  to  be  embraced  in  such  reports.     Such  superintendent 
shall  make  other  reports  at  such  times,  in  such  manner  and  in  respect 
to  such  matters  as  the   board  of  managers  or  the  commission  may 
direct.     (Thus  amended  by  chapter  118,  Laws  of  1916). 

11.  Keep  a  book,  in  which  he  shall  cause  to  be  entered  at  the  time 
of  reception  of  any  patient,  his  name,  residence  and  occupation,  and 
the  date  of  such  reception,  by  whom  brought  and  by  what  authority 
and  on  whose  petition  committed,  and  an  abstract  of  all  orders,  war- 


INSANITY  LAW  61 

rants,  requests,  petitions,  certificates  and  other  papers  accompanying: 
such  persons. 

u-a.  Establish  and  maintain  in  connection  with  his  hospital,  sub- 
ject to  the  approval  of  the  state  hospital  commission,  one  or  more 
out-patient  departments  or  dispensaries  within  the  hospital  district 
of  such  state  hospital,  and  assign  to  duty  in  any  such  department  or 
dispensary  members  of  the  medical  staff,  nurses  or  other  employees 
of  the  hospital,  and  make  such  necessary  expenditures  as  may  be  re- 
quired therefor,  subject  to  the  approval  of  the  commission.  (Thus 
amended  by  chapter  626,  Laws  of  1913). 

12.  A  committee  consisting  of  three  superintendents  to  be  appointed 
by  the  commission  shall  establish  by-laws,  rules  and  regulations  gov-» 
erning  the  appointment  and  duties  of  officers  and  employees  of  all  the 
state  hospitals,  and  for  the  internal  government,  discipline  and  man- 
agement of  the  same.  Such  by-laws,  rules  and  regulations  shall  be 
subject  to  the  approval  of  the  commission  and  of  the  quarterly  confer- 
ence of  superintendents  and  managers  with  the  commission  as 
provided  in  section  forty-eight -of  this  act.  Such  by-laws,  rules  and 
regulations  shall  be  uniform  for  all  the  state  hospitals,  and  shall  not 
be  inconsistent  with  the  provisions  of  this  chapter  nor  with  the  pro- 
visions of  the  civil  service  law  and  the  rules  and  regulations  established 
thereunder.  The  by-laws,  rules  and  regulations  established  by  the 
state  commission  in  lunacy  and  in  force* on  the  first  day  of  April,  nine- 
teen hundred  and  five  shall  continue  in  force  except  as  they  may  here- 
after be  modified,  amended  or  repealed  as  provided  by  this  chapter. 
(Thus  amended  by  chapter  121,  Laws  of  1912.) 

§  46.  Special  provisions  relating  to  Brooklyn  State  Hospital,  Kings 
Park  State  Hospital,  Central  Islip  State  Hospital,  and  Manhattan 
State  Hospital. — The  hospital  heretofore  known  as  the  Long  Island 
State  Hospital  is  divided  into  two  parts.  The  part  located  at  Kings 
Park  shall  be  known  as  Kings  Park  State  Hospital;  the  part  located 
at  Flatbush  in  the  borough  of  Brooklyn,  city  of  New  York,  shall  be 
known  as  Brooklyn  State  Hospital.  The  hospital  heretofore  known 
as  the  Manhattan  State  Hospital  is  divided  into  two  parts.  The  part 
located  on  Ward's  Island,  in  the  city  of  New  York,  shall  be  known  as 
Manhattan  State  Hospital.  The  part  located  at  Central  Islip  shall 
be  known  as  Central  Islip  State  Hospital.  Each  part  of  each  of  such 
hospitals  shall,  except  as  otherwise  provided  in  this  chapter,  be  deemed 
a  separate  and  independent  state  hospital  and  all  the  provisions  of 
this  chapter  relating  to  the  management,  maintenance  and  control 
of  state  hospitals  and  the  appointment  of  resident  officers,  attend- 
ants and  employees  therein  shall  apply  to  each  such  state  hospital. 
Patients  shall  be  committed  to  and'  received  at  the  Brooklyn  State 

5 


62  THE  INSANITY  LAW 

Hospital,  the  Kings  Park  State  Hospital,  the  Central  Islip  State  Hos- 
pital, and  the  Manhattan  State  Hospital  in  accordance  with  rules  to 
be  established  by  the  state  hospital  commission.  The  commission 
may  also  adopt  rules  regulating  the  transfer  of  such  patients  from  one 
to  another  of  such  hospitals.  (Thus  amended  by  chapter  608,  Laws 
of  1916). 

§  47.  Purchasing  steward  for  Brooklyn  State  Hospital,  Kings  Park 
State  Hospital,  Manhattan  State  Hospital,  and  Central  Islip  State 
Hospital. — The  office  of  purchasing  steward  for  the  Brooklyn  State 
Hospital,  Kings  Park  State  Hospital,  Manhattan  State  Hospital  and 
Central  Islip  State  Hospital,  as  heretofore  established  by  the  commis- 
sion, is  hereby  abolished. 

The  resident  steward  or  the  assistant  steward  of  each  of  such  hos- 
pitals shall  become  the  steward  of  the  respective  hospital  which  he 
now  serves  and  his  rank  in  the  service  shall  be  reckoned  as  though  he 
had  occupied  the  office  of  steward  during  the  time  that  he  has  served 
as  resident  steward  or  assistant  steward,  and  he  shall  possess  all  the 
powers  and  perform  all  the  duties  conferred  or  imposed  on  stewards 
of  state  hospitals  by  this  chapter.  (Thus  amended  by  chapter  608, 
Laws  of  1916.) 

§48.  Meetings  of  superintendents. — The  superintendents  or  other 
officers  of  the  several  state  hospitals  designated  by  them  shall  meet, 
at  least  once  in  every  three  months,  upon  the  call  of  the  commission, 
at  the  office  of  the  commission  in  Albany,  or  at  such  other  place  as 
may  be  designated  by  it,  to  consult  with  such  commission  with  refer- 
ence to  matters  relating  to  the  care  and  operations  of  the  state  hos- 
pitals and  particularly  with  reference  to  the  care  and  treatment  of 
the  insane.  Each  board  of  managers  may,  in  its  discretion,  send  one 
or  more  of  its  members  to  such  meetings.  (Thus  amended  by  chapter 
121,  Laws  of  1912.) 

§  49.  Salaries  of  officers  and  wages  of  employees. — The  state  hospital 
commission,  from  time  to  time  shall  fix,  subject  to  the  approval  of  the 
legislature  the  annual  salaries  of  the  resident  officers  of  the  state  hos- 
pitals, which  shall  be  uniform  for  like  service.  They  shall  classify  the 
other  officers  and  employees  into  grades,  and,  except  as  provided  by 
section  fifty  of  this  chapter,  shall  determine,  subject  to  the  approval 
of  the  legislature,  the  salaries  and  wages  to  be  paid  in  each  grade, 
which  shall  be  uniform  in  all  the  hospitals.  The  salaries  and  wages 
shall  be  included  in  the  estimates  and  paid  in  the  same  manner  as 
other  expenses  of  the  state  hospitals.  Food  supplies  shall  be  allowed 
to  officers  and  employees  and  the  families  of  the  superintendent,  first 
assistant  physicians,  directors  of  clinical  psychiatry,  pathologists  and 
stewards,  and  where  quarters  are  available  in  the  judgment  of  the 


THE  INSANITY  LAW  63 

superintendent,  such  maintenance  may  also  be  allowed  senior  assistant 
physicians,  assistant  physicians,  and  assistant  stewards,  at  state  hos- 
pitals having  not  less  than  four  thousand  patients,  subject  to  the 
approval  of  the  commission.  Such  families  shall  consist  only  of  the 
wives  and  minor  children  of  such  officers.  No  other  persons,  except 
those  regularly  employed,  shall  be  allowed  rooms  and  maintenance,  ex- 
cept at  a  rate  to  be  fixed  by  the  commission ;  such  supplies  shall  be 
drawn  from  the  supplies  provided  for  general  hospital  use.  With  the 
approval  of  the  commission,  officers  or  employees  of  state  hospitals 
may  be  permitted  to  live  outside  of  such  hospitals,  and  shall  receive 
such  sums  in  lieu  of  the  quarters  or  supplies  furnished  by  the  hospitals, 
as  may  be  equitable.  (Thus  amended  by  chapter  797,  Laws  of  1920.) 

§  50.  Salaries  of  certain  officers  and  wages  of  certain  employees 
prescribed. — The  officers  or  employees  of  the  state  hospitals  now  or 
hereafter  classified  as  occupying  offices  or  positions  specified  in  the 
schedule  at  the  end  of  this  section  shall  hereafter  receive  the  salaries 
or  wages  per  month  indicated  opposite  the  name  or  title  of  such 
officer  or  position,  except  that  where  a  minimum  and  maximum  rate 
per  month  is  prescribed,  advancement  from  the  minimum  to  the 
maximum  shall  be  in  accordance  with  the  length  of  service,  as 
prescribed  in  such  schedule.  If  a  minimum  and  maximum  rate  per 
month  is  not  prescribed  in  such  schedule,  the  salary  or  wages  per 
month  of  such  officer  or  employee  shall  be  the  amount  indicated 
opposite  the  name  or  title  of  such  office  or  position.  Where  an  in- 
crease of  salary  or  wages  is  allowed  at  a  certain  rate  per  month  or 
otherwise  for  continuous  service,  continuous  service  performed  prior 
to  the  time  this  section,  as  hereby  amended,  takes  effect,  in  the  same 
position  or  employment,  shall  be  deemed  a  part  of  the  continuous  ser- 
vice in  determining  the  salary  or  wages  to  which  such  officer  or  em- 
ployee shall  be  entitled  under  this  section.  When  employees  are 
allowed  to  board  and  lodge  away  from  the  hospital  on  account  of  lack 
of  accommodations  in  the  institution  a  uniform  rate  of  not  less  than 
twenty-four  dollars  per  month  shall  be  allowed  in  addition  to  the 
regular  monthly  wages,  and  this  amount  shall  be  apportioned  at  the 
rate  of  six  dollars  per  month  for  each  meal  and  six  dollars  per  month 
for  lodging.  Heads  of  families  living  outside  of  the  institution  shall 
be  allowed  an  additional  sum  of  eight  dollars  per  month,  which  shall 
apply  to  lodging  only.  Such  employees  shall,  subject  to  the  approval 
of  the  commission,  be  allowed  the  privileges  granted  to  employees 
residing  in  the  hospital.  In  all  cases  where  a  minimum  and  maxi- 
mum rate  of  wage  is  scheduled  for  any  given  position,  the  increase 
from  minimum  to  maximum  will  be  made  at  the  rate  of  four  dollars 
per  month  for  each  six  months  of  continuous  service,  and  the  first  of 


64  THE  INSANITY  LAW 

the  month  nearest  the  date  of  employment  shall  be  the  date  from 
which  the  first  six  months  of  employment  shall  be  reckoned.  Where  a 
telegraph  office  is  maintained  in  an  institution  an  extra  compensation 
of  ten  dollars  per  month  shall  be  allowed  to  the  person  performing  the 
service  of  operator. 

When  an  employee  is  promoted  to  a  position  where  the  maximum 
wage  of  the  position  from  which  he  goes  equals  the  minimum  wage 
of  the  position  to  which  he  goes,  the  time  served  in  the  lower  position 
at  the  maximum  wage  shall  count  as  time  served  in  the  higher  position 
at  the  minimum  wage,  provided  that  if  the  minimum  wage  of  therjosi- 
tion  to  which  an  employee  is  transferred  or  promoted  is  less  than  the 
maximum  wage  of  the  position  from  which  the  employee  is  transferred 
the  employee  shall  receive  no  less  than  the  maximum  wage  of  the 
position  from  which  the  employee  was  transferred. 

SCHEDULE  OF  SALARIES  AND  WAGES 
i.   ADMINISTRATION  DEPARTMENT 

PORTION  Wages  per  month 

Minimum    Maximum 

Stenographer,  first  grade $8400         $10000 

Stenographer,  second  grade 72  oo             84  oo 

Stenographer,  special  attendant. 62  oo             70  oo 

Secretary  and  stenographer 100  oo 

Clothing  clerk 75  oo 

Clothing  clerk's  assistant 62  oo             70  oo 

Watchman 62  oo             70  oo 

Policemen , 62  oo             70  oo 

Barber 75  oo 

Coachman 80  oo 

Driver 48  oo             56  oo 

Page  or  messenger 30  oo 

Chief  transfer  agent 7400             8200 

Chauffeur,  first  grade 80  oo 

Motor  truck  driver,  special  attendant 62  oo             70  oo 

Only  one  secretary  and  stenographer  and  one  clothing  clerk  allowed 

in  any  institution. 
Only  one  male  and  one  female  chief  transfer  agent  will  be  allowed 

in  any  hospital. 

2.   FINANCIAL  DEPARTMENT 
POSITION  Wages  per  month 

Minimum    Maximum 

Bookkeeper $11000         $126  oo 

Bookkeeper— paymaster 120  oo  136  oo 

Accountant 100  oo  11600 

Voucher  and  treasurer's  clerk 84  oo  96  oo 

Storekeeper 84  oo  100  oo 

Assistant  storekeeper 62  oo  70  oo 

Stenographer,  first  grade . . . , 84  oo  100  oo 

Stenographer,  second  grade 72  oo  84  oo 

Stenographer,  special  attendant 62  oo  70  oo 

Page  and  messenger 3000 


THE  INSANITY  LAW 


65- 


3.   WARD  SERVICE 


POSITION 

Chief  supervisor 

Supervisor 

Charge  or  registered  nurse. 

Nurse 

Charge  attendant 

Attendant 

Special  attendant 


Wages  per  month 
Minimum    Maximum 
$96  oo 
86  oo 
74  oo 
64  oo 
64  oo 


$84  oo 
74  oo 
62  oo 
56  oo 
56  oo 
44  oo 
62  oo 


56  oo 
70  oo 


Special  attendants  shall  be  assigned  to  skilled  work  only. 

Only  one  male  and  one  female  chief  supervisor  will  be  allowed  in 
any  hospital. 

An  attendant,  nurse  or  supervisor  performing  night  service  shall  be 
entitled  to  four  dollars  per  month  in  addition  to  the  regular  wages. 


POSITION 


4.  DOMESTIC  'SERVICE 

Wages  per  month 
Minimum     Maximum 

Housekeeper $56  oo  $64  oo 

Waitress  and  chambermaid 44  oo  56  oo 

5.  KITCHEN  SERVICE 

Wages  per  month 
Minimum  'Maximum 

Chef,  or  dietitian $125  oo 

Head  cook 8&  06 

Cook 60  06 

Assistant  cook 56  oo 

Kitchen  helper , $44  oo  56  oo 

6.   BAKERY  SERVICE 

pom-rmv  Wages  per  month 

Minimum     Maximum 

Head  baker $90  oo 

Baker ' 70  oo 

Bakers' helper $4400     .        5600 

7.   MEAT  CUTTERS 
POSITION  Wages  per  month 

Minimum    Maximum 
Meat  cutter -. $90  oo 

Meat  cutter's  assistant,  special  attendant..  $6200  70  oo 

Only  one  meat  cutter  allowed  in  any  institution. 


66  THE  INSANITY  LAW 

8.   LAUNDRY  SERVICE 

POSITION  Wages  per  month 

Minimum  Maximum 

Laundry  supervisor $11000 

Laundry  overseer 90  oo 

Launderer $50  oo  62  oo 

Head  laundress 52  oo  64  oo 

Laundress 44  oo  56  oo 

Only  one  laundry  supervisor  allowed  in  any  institution. 

9.   ENGINEER'S  DEPARTMENT 

POSITION  Wages  per  month 

Minimum  Maximum 

Chief  engineer $14400  $16000 

Assistant  engineer,  first  grade 96  oo  112  oo 

Assistant  engineer,  second  grade 82  oo  90  oo 

Electrical  engineer : 1 10  oo  126  oo 

Assistant  electrical  engineer,  first  grade..              9600  11200 

Assistant  electrical  engineer,  second  grade.              8200  9000 

Electrical  worker -82  oo 

Assistant  electrical  worker 72  oo  80  oo 

Linemen 62  oo  70  oo 

Plumber  and  steam  fitter 9200  10800 

Assistant  plumber 72  oo  80  oo 

Assistant  steam  fitter 72  oo  80  oo 

Plumber  and  steam  fitter's  helper 62  oo  70  oo 

Fireman 72  oo  80  oo 

10.   BUILDING  DEPARTMENT 

Wages  per  month 

Minimum  Maximum 

Master  mechanic $144  oo  $160  oo 

Supervising  carpenter 1 10  oo  126  oo 

Head  carpenter 92  oo  ^108  oo 

Carpenter. 82  oo  90  oo 

Head  painter 92  oo  108  oo 

Painter 82  oo  90  oo 

Assistant  painter,  special  attendant 62  oo  70  oo 

Mason .'....            1 10  oo  126  oo 

Plasterer 92  oo  108  oo 

Roofer  or  tinsmith 92  oo  10800 


THE  INSANITY  LAW  67 

ii.   INDUSTRIAL  DEPARTMENT 

Wages  per  month 
Minimum    Maximum 

Shop  foreman $8200  $9000 

Tailor 82  oo  90  oo 

Shoemaker 82  oo  90  oo 

Photographer 72  oo  80  oo 

Helpers  in  the  mechanical    and    industrial   departments  may  be 
appointed  from  the  grades  of  attendants  and  special  attendants. 

12.   FARM  AND  GROUNDS  DEPARTMENT 

Wages  per  month 
Minimum    Maximum 

Farm  supervisor $11000  $126  oo 

Farm  manager 92  oo  108  oo 

Head  farmer  and  charge  ol  grounds 92  oo  100  oo 

Head  farmer 82  oo  90  oo 

Dairyman 72  oo  80  oo 

Farmer 5°  °°  68  oo 

Herdsman 56  oo  6800 

Poultryman 62  oo  74  oo 

Gardener 72  oo  80  oo 

Florist 7600  9000 

Driver 4800  5600 

Laborer 48  oo  56  oo 

Blacksmith 82  oo  90  oo 

13.   MARINE  SERVICE,  MANHATTAN  STATE  HOSPITAL 

POSITION 

Dockmaster $100  oo 

Assistant  dockmaster. . .  80  oo 


14.   RAILROAD  DEPARTMENT,  WILLARD  STATE  HOSPITAL 

Wages  per  month 

Minimum    Maximu: 

Trackman $62  oo  $70  oo 


68  THE  INSANITY  LAW 

§  2.  The  sum  of  one  million  one  hundred  arid  twenty  thousand  dollars 
($1,120,000.00)  or  so  much  thereof  as  may  be  necessary,  is  hereby  appro- 
priated out  of  any  moneys  in  the  state  treasury  not  otherwise  appro- 
priated, to  carry  out  the  provisions  of  this  act.  The  moneys  appropriated 
shall  be  paid  out  by  the  state  treasurer  on  the  warrant  of  the  comp- 
troller in  the  mariner  provided  by  law  for  the  payment  of  moneys 
appropriated  for  the  compensation  of  employees  affected  by  this  act. 
(Thus  amended  by  chapter  697,  Laws  of  1920.) 

§  51.  Quarterly  estimates  of  expenditures;  emergency  fund. — The 
superintendent  of  each  of  the  state  hospitals  shall,  once  in  each  three 
months  as  the  commission  may  determine,  cause  to  be  prepared  tripli- 
cate estimates  in  such  detail,  as  may  be  required  by  the  commission, 
of  the  expenditures  required  by  the  hospital  of  which  he  is  the 
superintendent,  for  the  ensuing  three  months.  He  shall  submit 
two  of  such  triplicates  to  the  commission  and  file  the  third  copy 
in  the  office  of  the  superintendent.  The  commission  may  revise  esti- 
mates for  supplies  or  other  expenditures  either  as  to  quantity,  quality, 
or  the  estimated  cost  thereof,  and  shall  certify  that  it  has  care- 
fully examined  the  same  and  that  the  expenditures  contained  in  such 
estimates,  as  approved  or  revised  by  it,  are  actually  required  for  the 
use  of  the  hospital,  and  shall  thereupon  present  such  estimate  and 
certificate  to  the  comptroller.  Upon  the  revision  and  approval  of 
such  estimate  by  the  commission,  the  comptroller  shall  authorize  the 
superintendent  as  treasurer,  or  such  other  officer  as  the  commission 
may  designate  as  provided  in  this  chapter,  to  make  drafts  on  the 
comptroller,  as  the  money  may  be  required  for  the  purposes  mentioned 
in  such  estimates,  which  drafts  shall  be  paid  on  the  warrant  of 
the  comptroller,  out  of  the  funds  in  the  treasury  of  the  state  held 
for  the  care  of  the  insane  and  the  maintenance  of  state  hospitals. 
In  every  such  estimate,  there  shall  be  a  sum  named,  not  to  exceed 
one  thousand  dollars,  as  an  emergency  fund  for  which  no  minute 
detailed  statement  need  be  made.  No  money  shall  be  expended  for 
the  use  of  any  of  the  state  hospitals,  except  as  provided  in  this  sec- 
tion. And  except  that  a  sum  not  exceeding  two  thousand  dollars  may, 
when  authorized  by  the  comptroller,  be  set  apart  by  the  commission 
to  each  hospital  as  a  commutation  ticket  fund,  to  be  used  under  the 
direction  and  control  of  the  superintendent  for  the  purchase  of  com- 
mutation tickets.  Such  tickets  shall  be  sold  at  cost  under  the 
direction  of  the  superintendent,  for  the  use  of  the  hospital.  The 
amount  received  from  the  sale  of  such  tickets  shall  be  paid  into 
such  fund  and  shall  be  available  for  the  purchase  of  additional 
tickets  as  above  provided.  Libraries  may  be  furnished  to  any  state 
hospital  by  the  regents  of  the  University  of  the  state  of  New  York, 


THE  INSANITY  LAW  69 

subject  to  regulations  adopted  by  them  and  the  commission,  the 
expense  of  which  shall  be  included  in  the  quarterly  estimates  of  the 
hospitals. 

Any  general  expenses  necessarily  incurred  by  the  commission  for  or 
on  account  of  the  state  hospitals  shall  be  apportioned  to  such  hospitals 
on  the  basis  of  the  number  of  patients,  and  included  in  the  estimates  of 
such  hospitals,  made  as  provided  in  this  section  under  the  direction 
of  the  commission.  (Thus  amended  by  chapter  768,  Laws  of  -1911.) 

§  52.  Powers  and  duties  of  superintendent  as  treasurer. — The  super- 
intendent as  treasurer  of  such  hospital,  or  such  officer  as  may  be  des- 
ignated as  treasurer  by  the  commission  as  provided  in  this  chapter, 
shall,  subject  to  the  rules  and  regulations  of  the  commission,,  per- 
taining to  his  duties  as  treasurer: 

1.  Have  the  custody  of  all  moneys  received  from  the  comptroller 
on  account  of  estimates  made  by  the  superintendent  and  revised  and 
approved  by  the  commission,  and  keep  an  accurate  account  thereof. 

2.  Have  the  custody  of  all  bonds,  notes,  mortgages  and  other  securi- 
ties and  obligations  belonging  to  the  hospital. 

3.  Receive  all  money  for  the  care  and  treatment   of  private  and 
reimbursing  patients  and  other  sources  of  revenue  of  the  hospital; 
but  where  a  designation  of  a  person  as  treasurer  is  made  as  provided 
by  this  chapter,  the  steward  shall  receive  all  such  money  and  transmit 
the  same,  once  each  week,  to  the  person  so  designated  as  treasurer, 
and  report  the  amount  so  transmitted  to  the  superintendent. 

4.  Deposit  all  money  received  from  :the  comptroller  on  account  of 
estimates   in  a  bank  designated  by  the  comptroller  in   his  name  as 
treasurer,  and  send  each  month  to  the  comptroller  and  to  the  com- 
mission a  statement,  showing  the  amount  so  received  and  deposited, 
and  from  whom  and  for  what  received,  and  when  such  deposits  were 
made.      Such   statement  of  deposit  shall  be  certified  by  the  proper 
officer  of  the  bank  receiving  such   deposit.     The  superintendent  as 
treasurer,  or  other  officer  designated  as  treasurer  by  the  commission, 
as  provided  in  this  chapter,  shall  make  an  affidavit  to  the  effect  that 
the   sum   so  deposited  is   all  the  money  received  by  him,  from  any 
source  of  hospital  income,  to  the  date  of  the  last  deposit  appearing 
on  such  statement.    A  bank  designated  by  the  comptroller  to  receive 
such  deposits  shall,  before  any  deposit  is  made,  execute  a  bond  to  the 
people  of  the  state,  in  a  sum  approved  by  the  comptroller,  for  the  safe 
, keeping  of  the  funds  deposited. 

5.  Pay  out  the  money  deposited  for  the  uses  of  the  state  hospital, 
upon  the  voucher  of  the  stewafd;  where  a  person  has  been  designated 
as   treasurer,   as  provided    in    this    chapter,  such   voucher    shall   be 
countersigned  by  the  superintendent. 


70  THE  INSANITY  LAW 

6.  Keep  full  and  accurate  accounts  of  all  receipts  and  payments,  in 
the   manner  and  according  to  books  and  forms   prescribed  and  fur- 
nished by  the  commission. 

7.  Balance  all  accounts  on  his  books,  annually,  for  the  year  ending 
on  the  last  day  of  June,  and  make  a  statement  thereof  and  an  abstract 
of  the  receipts  and  payments  of  the  past  year  and  deliver  the  same, 
within  thirty  days,  to  the  commission.     (Thus  amended  by  chapter 
118,  Laws  of  1916). 

8.  Render  an  account  of  the  state  of  the  books  and  the  funds  and 
other  property  in  his  custody,  whenever  required  by  the  commission. 

9.  Execute  a  release  and  satisfaction  of  a  mortgage,  judgment  or 
other  lien  or  debt  in  favor  of  the  hospital,  when  paid. 

10.  Receive  all  moneys  for  or  on  account  of  the  sale   of  lands  of 
the  hospital  of  which  he  is  the  treasurer. 

§53.  Monthly  statement  of  receipts  and  expenditures;  vouchers. — 
The  superintendent  as  treasurer  of  each  state  hospital,  or  such  other 
officer  as  may  be  designated  as  treasurer  by  the  commission,  as  pro- 
vided in  this  chapter,  shall,  on  or  before  the  fifteenth  day  of  each 
month,  make  to  the  comptroller  and  to  the  commission  a  full  and 
perfect  statement  of  all  the  receipts  and  expenditures,  specifying  the 
several  items,  for  the  last  preceding  calendar  month.  Such  state- 
ment shall  be  verified  by  the  affidavit  of  the  treasurer  attached 
thereto,  in  the  following  form: 

I, ,  treasurer  of  the state 

hospital,  do  solemnly  aver  that  I  have  deposited  in  the  bank  desig- 
nated by  law  for  such  purpose,  all  the  moneys  received  by  me  on  account 
of  the  hospital  during  the  last  month,  and  I  do  further  swear  that  the 
foregoing  is  a  true  abstract  of  all  the  moneys  received  and  payments 
made  by  me  or  under  my  direction  as  such  treasurer  during  the  month 
ending  on  the day  of ,  19 ... 

There  shall  also  be  forwarded  to  the  commission  the  affidavit  of  the 
steward,  to  the  effect  that  all  goods  and  other  articles  for  which 
vouchers  are  rendered  were  purchased  and  received  by  him,  or  under 
his  direction,  at  the  hospital;  that  the  goods  were  purchased  at  a 
fair  cash  market  price  and  paid  for  in  cash,  or  on  credit,  not  exceed- 
ing sixty  days,  and  that  he,  or  any  person  in  his  behalf,  had  no 
pecuniary  or  other  interest  in  the  articles  purchased;  that  he  received 
no  pecuniary  or  other  benefit  therefrom  in  the  way  of  commission, 
percentage,  deductions  or  presents,  or  in  any  other  manner  whatever, 
directly  or  indirectly;  that  the  articles  for  which  vouchers  are  ren- 
dered were  received  at  the  hospital;  that  they  were  conformed  in  all 
respects  to  the  invoiced  goods  received  and  ordered  by  him,  both  in 
quality  and  quantity.  Such  vouchers  shall  be  examined  by  the  com- 


THE  INSANITY  LAW  71 

mission  and  compared  with  the  estimates  made  for  the  month  for 
which  the  statement  is  rendered,  and  if  found  correct  shall  be 
endorsed  and  forwarded  by  the  commission,  with  the  statement,  to 
the  comptroller.  If  any  voucher  is  found  objectionable,  the  comp- 
troller shall  endorse  his  disapproval  thereon,  with  the  reason  therefor, 
and  return  it  to  the  commission,  who  shall  present  it  to  the  superintend- 
ent for  correction,  and  when  corrected  return  it  to  the  comptroller. 
All  such  vouchers  shall  be  filed  in  the  office  of  the  comptroller. 

§  54.  Action  to  recover  moneys  due  the  hospital. — The  superintend- 
ent or  treasurer  of  any  state  hospital  may  bring  an  action  or  a  special 
proceeding  in  the  name  of  the  hospital,  to  recover  for  the  use  thereof: 

1.  The  amount  due  upon  any  note  or  bond  in  his  hands  belonging  to 
the  hospital. 

2.  The  amount  charged  and  due  for  the  support  of  any  patient 
therein,  or  for  actual  disbursements  made  in  his  behalf  for  necessary 
clothing  and  traveling  expenses,  and  to  enforce  any  liability  created 
by  statute  for  the  care  and  support  of  the  insane. 

3.  Upon  any  cause   of    action    accruing    to    the    hospital.     (Thus 
amended  by  chapter  389,  Laws  of  1910.) 

§  55.  General  powers  and  duties  of  the  steward. — The  steward,  under 
the  direction  of  the  superintendent,  and  subject  to  the  rules  and  regu- 
lations of  the  hospital,  shall  be  accountable  for  the  careful  keeping 
and  economical  use  of  all  furniture,  stores  and  other  articles  pro- 
vided for  the  hospital,  and  under  the  direction  of  the  superintendent, 
and  subject  to  such  rules  and  regulations,  shall : 

1.  Make  all  purchases  for  the  hospital,  except  as  otherwise  provided 
in  this  chapter,  and  preserve  the  original  bills  and  receipts  thereof, 
and  keep  full  and  accurate  accounts  of  the  same. 

2.  Prepare  and  keep  the  pay-rolls  of  the  hospital. 

3.  Keep  the  accounts  for    the  support  of   patients  and  expenses 
incurred  in  their  behalf,  and  furnish  the  treasurer  statements  thereof 
as  they  fall  due. 

4.  Notify  the  treasurer  of  the  death  or  discharge  of  any  reimbursing 
or  pay  patient,  within  five  days  after  such  death  or  discharge. 

5.  Where  agricultural  products  are   raised   on  grounds  under  the 
jurisdiction  of  the  state  hospital  commission,  the  hospital,  subject  to 
the  approval  of  such  commission,  may  exchange  such  products  for 
canned  products  of  canning  factory  in  the  town  in  which  such  agricul- 
tural products  are   raised.      (Thus   amended  by  chapter  293,  Laws 
of  1915.) 

[The  following  section  while  not  definitely  repealed  has  been  practi- 
cally superseded  by  Chapter  400,  Laws  of  1918.] 
§  56.  Purchases  and  contracts. — All  purchases  of  supplies  for  the  use 


72  THE  INSANITY  LAW 

of  the  hospital  shall  be  made  for  cash  or  on  credit  or  time,  not  exeeedr 
ing  sixty  days;  every  voucher  shall  be  duly  filled  out,  and  with  every 
abstract  of  vouchers  paid,  there  shall  be  proof  on  oath  that  the  voucher 
was  properly  filled  up  and  the  money  paid.  No  expenditure  for  sup- 
plies or  other  purposes  shall  be  made  for  the  benefit  of  such  hospital, 
by  contract  or  otherwise,  unless  in  conformity  with  the  provisions  of 
this  chapter  in  relation  to  estimates.  No  member  of  the  commission, 
manager  or  officer  of  a  hospital  shall  be  interested,  directly  or  indi- 
rectly, in  the  furnishing  of  material,  labor  or  supplies  for  the  use  of 
the  hospital,  nor  shall  any  such  manager  or  officer  act  as  attorney  or 
counsel  for  such  hospital.  The  commission  shall  from  time  to  time 
appoint  a  purchasing  committee,  to  consist  of  three  superintendents 
and  two  stewards,  who  shall  serve  as  such  purchasing  committee  and, 
subject  to  the  approval  of  the  commission^  shall  determine  what  arti- 
cles of  supplies  it  is  practicable  and  desirable  to  purchase  by  .joint 
contracts  for  the  state  hospitals,  also  the  character  and  qualities  of 
such  supplies;  and,  subject  to  the  approval  of  the  commission,  draw 
specifications  and  enter  into  contracts  for  the  supplies  to  be  purchased 
jointly  and  have' samples  and  supplies  tested  chemically  or  otherwise 
for  the  purpose  of  determining  their  quality.  Contracts  shall  be  let 
to  the  lowest  responsible  bidder.  All  bids  may  be  rejected.  The 
purchasing  committee  shall  determine  the  period  for  which  such  con- 
tracts shall  be  let,  except  that  no  contract  shall  be  let  for  a  period 
longer  than  one  •  year.  A  determination  to  purchase  any  article  by 
joint  contract  shall  be  binding  upon  all  the  hospitals,  except  that  any 
hospital  may  be  exempted  by  the  commission  from  the  requirement  to 
purchase  any  such  article.  Such  contracts  shall  not  be  let  except 
in  conformity  with  the  provisions  of  this  chapter  relating  to  estimates. 
The  state  hospitals  may  manuf acture  such  supplies  and  materials  to  be 
used  in  any  of  such  hospitals  as  can  be  economically  made  therein. 
All  goods  for  the  use  of  the  hospitals  shall  be  bought,  as  far  as  prac- 
ticable, of  manufacturers  or  their  immediate  agents.  All  contracts,  if 
let,  shall,  subject  to  the  provisions  of  section  fifty-one  relating  to  esti- 
mates, be  awarded  to  the  lowest  responsible  bidders.  A  member  of 
the  commission  or  an  officer,  manager  or  employee  of  a  state  hospital 
shall  not  receive  a  gift  or  reward  for  himself  or  the  hospital  from  any 
person,  firm  or  corporation  dealing  in  goods,  or  supplies  suitable  or 
necessary  for  the -use  of  the  hospital.  All  purchases  and  contracts 
made  and  executed  in  pursuance  of  law,  prior  to  June  first,  nineteen 
hundred  and  five,  shall  thereafter  be  given  full  force  and  effect,  not- 
withstanding the  change  in  the  management  of  the  state  hospitals. 
(Thus  amended  by  chapter  768,  Laws  of  1911.) 
'>'-§  57,  Official  oath.— Each  superintendent  affd  steward- of  a  hospital, 


THE  INSANITY  LAW  73 

before  entering  upon  his  duties  as  such,  shall  take  the  constitutional 
oath  of  office  and  file  the  same  in  the  ofnce  of  the  secretary  of  state. 

§  58.  Actions  against'State  hospital  commissioners,  managers  or  offi- 
cers of  state  hospitals. — No  civil  action  shall  be  brought  in  any  court 
against  the  commission  or  a  state  hospital  commissioner,  or  an  officer  or 
a  manager  of  a  state  hospital,  for  alleged  damages  because  of  any  act 
done  or  failure  to  perform  any  act,  while  discharging  his  official 
duties,  withotit  leave  of  a  judge  of  the  supreme  court,  first  had  and 
obtained.  Any  just  claim  for  damages  against  such  commission  or 
commissioner,  officer,  manager,  or  employee  for  which  the  state  would 
be  legally  or  equitably  liable,  may  be  paid  out  of  any  moneys 
appropriated  for  the  care  of  the  insane.  (Thus  amended  by  chapter 
121,  Laws  of  1912.) 

§  59.  Private  institutions  for  the  insane. — No  person,  association 
or  corporation  shall  establish  or  keep  an  institution  for  the  care,  cus- 
tody or  treatment  of  the  insane,  for  compensation  or  hire,  without  first 
obtaining  a  license  therefor  from  the  commission.  Nor  shall  an  insane 
patient  be  received  and  retained  for  treatment  for  compensation  or 
hire  in  any  institution  for  the  care  and  treatment  of  persons  suffering 
from  diseases  other  than  mental,  unless  such  a  license  shall  have  been 
so  obtained.  Every  application  for  such  a  license  shall  be  accompanied 
by  a  plan  of  the  premises  proposed  to  be  occupied,  describing  the 
capacity  of  the  buildings  for  the  uses  intended,  the  extent  and  location 
of  grounds  appurtenant  thereto,  and  the  number  of  patients  proposed 
to  be  received  therein,  with  such  other  information,  and  in  such  form, 
as  the  commission  may  require.  The  commission  shall  not  grant  any 
such  license  without  first  having  made  an  examination  of  the  premises 
proposed  to  be  licensed,  and  being  satisfied  that  they  are  substantially 
as  described,  and  are  otherwise  fit  and  suitable  for  the  purposes  for 
which  they  are  designed  to  be  used,  and  that  such  license  should  be 
granted.  The  commission  may,  at  any  and  all  times,  examine  and 
ascertain  how  far  a  licensed  institution  is  conducted  in  compliance 
with  the  license  therefor,  and  after  due  notice  to  the  institution  and 
opportunity  for  it  to  be  heard,  the  commission  having  made  a  record 
of  the  proceeding  upon  such  hearing,  may,  if  the  interests  of  the 
inmates  of  the  institution  so  demand,  for  just  and  reasonable  cause 
then  appearing  and  to  be  stated  in  its  order,  amend  or  revoke  any 
such  license  by  an  order  to  take  effect  within  such  time  after  the 
service  thereof  upon  the  licensee,  as  the  commission  shall  determine. 
This  section  shall  not  apply  to  a  public  general  hospital  making  pro- 
vision in  a  pavilion  or  special  wards  for  the  care,  nursing  and  observa- 
tion or  temporary  detention  of  alleged  insane  patients,  or  patients 
pending  commitment  to  a  state  hospital  or  an  institution  licensed  by 


74  THE  INSANITY  LAW 

the  state  commission  in  lunacy.  (1?hus  amended  by  chapter  329,  Laws 
of  1910.) 

§  60.  Recommendations  of  commission. — The  authorities  of  each 
institution  for  the  insane  shall  place  on  file  in  the  office  of  the  institu- 
tion, the  recommendations  made  by  the  commissioners  as  a  result  of 
their  visits,  for  the  purpose  of  consultation  by  such  authorities,  and  for 
reference  by  the  commissioners  upon  their  visits. 

§  61.  Visitors  to  state  hospitals.— Justices  of  the  supreme  court  are 
authorized  to  appoint  visitors  to  state  hospitals,  upon  nomination  of 
the  state  charities  aid  association,  as  provided  by  law. 

§  62.  Manhattan  State  Hospital;  lease  of  property. — The  transfer  of 
the  institutions,  formerly  known  as  the  New  York  City  Asylums  for  the 
Insane,  to  the  custody  and  control  of  the  Manhattan  State  Hospital, 
made  pursuant  to  chapter  two  of  the  laws  of  eighteen  hundred  and 
ninety-six,  and  the  lease  and  conveyance  described  in  section  two  of 
such  chapter  are  hereby  ratified  and  confirmed.  The  lease  of  the  island 
known  as  Ward's  Island,  together  with  all  the  buildings  and  improve- 
ments thereon  and  the  equipment,  fixtures  "and  furniture  of  the 
asylums  for  the  insane  located  on  such  island,  executed  as  prescribed 
in  section  two  of  chapter  two  of  the  laws  of  eighteen  hundred  and 
ninety-six,  shall  continue  and  remain  in  full  force  and  effect  until  the 
same  shall  either  be  surrendered  by  the  state  or  terminated  by  the  city 
of  New  York.  Such  lease  may  be  surrendered  at  any  time  by  the 
state,  or  the  same  may  be  terminated  by  the  city  of  New  York  by  fif- 
teen years'  notice,  in  writing,  signed  by  the  mayor  of  such  city,  to  the 
comptroller  of  the  state.  If  such  lease  is  terminated  by  the  city  of  New 
York,  the  city  shall  pay  to  the  state,  the  value,  at  the  time  of  such  termin- 
ation, of  all  buildings  that  may  have  been  erected  and  of  all  improve- 
ments that  may  have  been  made  by  the  state  on  the  premises  as  to  which 
the  lease  is  terminated.  The  amount  so  to  be  paid  shall  be  determined 
by  appraisement  of  five  competent,  disinterested  persons,  two  of  whom 
shall  be  named  by  the  governor,  two  by  the  mayor  of  the  city  of  New 
York,  and  the  fifth  by  the  four  persons  so  named.  In  case  such  lease  is 
surrendered  or  terminated,  as  provided  in  this  section  or  otherwise, 
adequate  provision  shall  thenceforth  be  made  by  the  state  for  the  care 
and  custody  of  all  insane  persons  who  may  be  inmates  of  the  institu- 
tion affected. 

§63.  Manhattan  State  Hospital;  docks,  ferry  boats  and  removal  of 
dead  bodies- — After  notice  has  been  given  to  the  board  of  managers  of 
the  Manhattan  State  Hospital  and  an  opportunity  has  been  afforded 
them  for  a  hearing,  the  commission  is  hereby  authorized  to  acquire 
by  purchase  or  by  lease,  for  the  use  of  the  Manhattan  State  Hospital 
in  the  city  of  New  York,  at  some  point  as  nearly  opposite  Ward's  Island 


THE  INSANITY  LAW  75 

as  may  be  available,  a  dock  which  shall  be  suitable  for  the  purpose  of 
a  landing  and  a  depot  for  the  general  use  of  the  hospital;  also  to 
purchase  or  lease  one  or  more  suitable  steamboats  to  be  used  for  the 
conveyance  of  patients  and  supplies  to  and  from  such  hospital.  Until 
the  state  provides  a  cemetery  for  the  use  of  the  hospital  the  commis- 
sioner of  public  charities  of  the  city  of  New  York  shall  continue  to 
remove  the  dead  bodies  of  insane  patients  from  Ward's  Island,  and  to 
provide  for  the  burial  of  the  unclaimed  dead  as  prescribed  by  law 
prior  to  the  passage  of  chapter  two  of  the  laws  of  eighteen  hundred  . 
and  ninety-six,  and  also  to  afford  transportation  by  their  steam  ferry 
boats  for  such  bodies  as  are  claimed  by  friends  at  the  hospital,  such 
removal  to  be  made  within  twenty-four  hours  after  receipt  of  notice 
from  the  superintendent  of  the  Manhattan  State  Hospital. 

§  64.  Acquisition  of  property  for  use  of  state  hospitals  by  condemna- 
tion and  otherwise. — The  state  hospital  commission  may  acquire, 
under  the  condemnation  law,  such  real  estate,  right  or  interest  therein 
as  may  be  necessary  for  the  construction,  maintenance  and  accommo- 
dation of  a  state  hospital,  if  unable  to  agree  with  the  owner  thereof 
for  its  purchase.  The  proceedings  for  the  purpose  of  acquiring  such 
real  estate,  right  or  interest  therein,  shall  be  instituted  and  maintained 
in  the  name  of  the  people  of  the  state  of  New  York,  by  the  attorney- 
general  or  by  such  counsel  as  the  governor  or  attorney-general  may 
designate  for  that  purpose,  upon  the  certificate  of  such  commission 
as  to  the  necessity  of  acquiring  such  real  estate,  right  or  interest 
therein,  approved  and  endorsed  by  the  governor.  The  commission 
may  acquire  and  hold  in  the  name  of  and  for  the  people  of  the  state  of 
New  York,  by  grant,  gift,  devise  or  bequest,  property  to  be  applied  to 
the  maintenance  of  insane  persons  in  and  for  the  general  use  of  a 
hospital.  (Thus  amended  by  chapter  121,  Laws  of  1912). 

§  65.  Erection,  alteration,  repairs  and  improvements  of  state  hospital 
buildings. — All  plans  and  specifications  for  the  erection,  alteration, 
repairs  and  improvements  of  state  hospital  buildings  shall  be  pre- 
pared by  the  state  architect,  but  the  supervising  engineer  of  the  state 
commission  in  lunacy  may,  when  directed  by  the  commission,  prepare 
plans  and  specifications  for  the  installation,  alteration,  repairs  and 
improvements  of  the  mechanical  appliances  and  fixtures  in  the  existing 
state  hospitals,  which  before  adoption  shall  be  approved  by  the  state 
architect.  The  state  commission  in  lunacy  shall  adopt  or  reject  any 
such  plans  or  specifications  and  no  such  work  shall  be  begun  until  the 
plans  and  specifications  therefor  have  been  adopted,  but  before  the 
adoption  thereof  the  commission  shall  submit  the  same  to  the  board  of 
managers  of  such  hospital,  and  shall  allow  such  board  a  period  of  not 
less  than  fifteen,  and  not  more  than  sixty  days  in  which  to  submit  a 


76  THE  INSANITY  LAW 

statement  of  their  opinions  and  suggestions  in  regard  thereto.  i  Con- 
tracts for  such  erection,  alteration,  repairs  and  improvements  as  may 
be  let  by  the  commission,  subject  to  the  approval  of  the  governor  and 
comptroller,  for  the  whole  or  any  part  of  the  work  to  be  performed, 
and  in  the  discretion  of  the  commission  such  contracts  may  be  sublet. 
Special  orders  for  such  work  in  amounts  less  than  one  thousand 
dollars  may  be  issued  by  the  state  architect  upon  authorization  by  the 
commission.  The  commission  shall  determine  to  what  extent  and  for 
what  length  of  time  advertisements  are  to  be  inserted  in  newspapers 
for  proposals  for  the  erection,  alteration,  repairs  or  improvements  of 
state  hospital  buildings.  .  A  preliminary  deposit,  or  certified  check 
drawn  upon  some  legally  incorporated  bank  in  this  state  shall  in  all 
cases  be  required  as  an  evidence  of  good  faith  upon  all  proposals  for 
buildings,  alterations,  repairs  or  improvements,  to  be  deposited  with 
the  treasurer  of  the  hospital  for  which  the  work  is  to  be  performed,  in  an 
amount  to  be  determined  by  the  state  architect,  but  the  work  done  by 
special  orders  in  an  ajnount  less  than  one  thousand  dollars  need  have 
no  such  deposit  or  check  provided  payment  is  to  be  made  only  after 
the  work  is  completed  and  approved.  All  contracts  in  an  amount 
greater  than  one  thousand  dollars  shall  have  the  performance  thereof 
secured  by  a  sufficient  bond  or  bonds  to  be  approved  by  and  filed  with 
the  commission.  In  all  cases  in  which  the  contracts  to  be  let  are  for 
the  purpose  of  connecting  any  such  institution  with  the  system  or 
line  or  lines  maintained  or  operated  by  any  public  service  corporation 
or  repairing  or  improving  any  such  connection,  such  public  service 
corporation  shall  not  be  required  to  make  the  preliminary  deposit  or 
to  give  the  certified  check  upon  submitting  its  proposal  as  hereinbe- 
fore provided,  nor  to  give  any  bond  for  the  performance  of  the  work, 
nor  shall  any  advertising  for  proposals  be  necessary  where  the  public 
service  corporation  is  to  perform  the  work.  The  work  or  erection, 
alteration,  repairs  or  improvements  of  any  building  or  plant  may  be 
done  by  the  employment  of  inmate  or  outside  labor,  either  or 
both,  and  by  the  purchase  of  materials  in  the  open  market 
whenever  in  the  opinion  of  the  commission  and  state  architect 
such  course  shall  be  more  advantageous  to  the  state,  but  no 
compensation  shall  be  allowed  for  the  employment  of  inmate 
labor.  Where  money  is  appropriated  for  any  specific  purpose  other 
than  maintenance  and  the  work,  materials,  furniture,  apparatus  or 
other  supplies  are  not  to  be  performed  or  purchased  pursuant  to 
contract  or  special  order  duly  made  therefor,  such  money  shall  be 
expended  pursuant  to  special  fund  estimates  made  to  the  commission 
by  the  superintendent  of  the  hospital  for  which  such  appropriation  is 
made.  The  law  governing  the  revision  of  estimates  of  the  expenditures 


THE  INSANITY  LAW  77 

required  for  the  state  hospitals  for  the  insane  shall  apply  to  such  esti- 
mates, and  when  such  work  is  to  be  performed  in  accordance  with  the 
plans  and  specifications  prepared  by  the  state  architect  or  is  to  be  paid 
for  from  appropriations  for  the  erection,  alteration,  repairs  or  improve- 
ments of  buildings  or  plant,  such  estimates  shall  also  be  subject  to  his 
approval.  Except  as  above  specified  all  such  work  shall  be  done  by 
contract  or  special  order.  The  form  of  the  contract  or  special  order 
shall  be  prescribed  by  the  state  architect.  All  payments  on  contracts 
or  special  orders  shall  be  made  on  the  certificate  of  the  state  architect 
approved  by  the  commission  as  the  work  progresses  or  the  purchase 
of  material  is  made  and  upon  bills  duly  certified.  No  item  of  an  appro- 
priation made  for  the  performance  of  such  work  shall  be  available 
except  for  advertising  unless  one  or  more  contracts,  special  orders  or 
special  fund  estimates  shall  first  have  been  made  for  the  completion  of 
such  work  within  the  appropriation  therefor.  All  contracts  for  the 
erection,  alteration,  repairs  or  improvements  of  hospitals  shall  contain 
a  clause  that  the  contract  shall  only  be  deemed  executory  to  the  extent 
of  the  moneys  available,  and  no  liability  shall  be  incurred  by  the  state 
beyond  the  moneys  available  for  the  purpose.  If  an  appropriation  be 
made  for  the  erection,  alteration,  repairs  or  improvements  of  buildings 
or  plant  in  an  appropriation  act  specifying  two  or  more  objects  for  which 
the  appropriation  is  made  and  any  one  of  such  objects  shall  have  been 
accomplished  for  a  sum  less  than  the  amount  specified  in  the  act,  the 
unexpended  balance  shall  be  applicable  to  the  completion  of  any  other 
work  specified  in  the  act,  provided  that  after  due  advertisement  no 
bids  shall  have  been  received  within  the  amount  specifically  appro- 
priated therefor.  (Thus  amended  by  chapter  768,  Laws  of  1911.) 

§  66.  Streets  and  railroads  through  hospital  lands. — No  public  street 
or  road  for  railroad  or  other  purposes  shall  be  opened  through  the 
lands  of  a  state  hospital,  unless  the  legislature  by  special  law  consents 
thereto. 

ARTICLE   IV 

Commitment,  Custody  and  Discharge  of  the  Insane 

Section  80.  Order  for  commitment  of  an  insane  person. 

81.  Medical  examiners  in  lunacy;  certificates  of  lunacy. 

82.  Proceedings  to  determine  the  question  of  insanity. 

83.  Review  of  proceedings  and  order  of  commitment. 

84.  Costs  of  commitment. 

85.  Liability  for  care  and  support  of  poor  and  indigent  insane. 

86.  Liability  for  the  care  and  support  of  the  insane  other  than 

the  poor  and  indigent. 
6 


78  THE  INSANITY  LAW 

87.  Duties  of  local  officers  in  regard  to  their  insane. 

88.  Duty  of  committee  and  others  to  care  for  the  insane ;  appre- 

hension and  confinement  of  a  dangerous  insane  person. 

89.  Patients  admitted  under  special  agreement. 

90.  Entries  in  case  book. 

91.  Transfer  of  patients,  when  hospital  is  overcrowded. 

92.  Investigation  into  the  care  and  treatment  of  the  insane. 

93.  Habeas  corpus. 

94.  Discharge  of  patients. 

95.  Clothing  and  money  to  be  furnished  discharged  patients. 

96.  Transfer  of  non-resident  patients. 

97.  Insane  Indians. 

98.  Sale  of  unclaimed  personal  property  of    discharged   or 

deceased  patients. 

99.  Voluntary  patients  in  state  hospitals. 

§  80.  Order  for  commitment  of  an  insane  person. — A  person  alleged 
to  be  insane,  and  who  is  not  in  confinement  on  a  criminal  charge,  may 
be  committed  to  and  confined  in  an  institution  for  the  custody  and 
treatment  of  the  insane,  upon  an  order  made  by  a  judge  of  a  court  of 
record  of  the  city  or  county,  or  a  justice  of  the  supreme  court  of  the 
judicial  district,  in  which  the  alleged  insane  person  resides  or  may  be, 
adjudging  such  person  to  be  insane,  upon  a  certificate  of  lunacy  made 
by  two  qualified  medical  examiners  in  lunacy,  accompanied  by  a  veri- 
fied petition  therefor,  or  upon  such  certificate  and  petition,  and  after  a 
hearing  to  determine  such  question,  as  provided  in  this  article.  The 
commission  shall  prescribe  and  furnish  blanks  for  such  certificates  and 
petitions,  which  shall  be  made  only  upon  such  blanks.  An  insane 
person  shall  be  committed  only  to  a  state  hospital,  a  duly  licensed 
institution  for  the  insane,  or  the  Matteawan  State  Hospital,  or  to  the 
care  and  custody  of  a  relative  or  committee,  as  hereinafter  provided. 
No  idiot  shall  be  committed  to  or  confined  in  a  state  hospital.  But 
any  epileptic  or.  feeble-minded  person  becoming  insane  may  be  com- 
mitted as  an  insane  person  to  a  state  hospital  for  custody  and  treat- 
ment therein. 

§  81.  Medical  examiners  in  lunacy;  certificates  of  lunacy. — The 
certificate  of  lunacy  must  show  that  such  person  is  insane  and  must 
be  made  by  two  reputable  physicians,  graduates  of  an  incorporated 
medical  college,  who  have  been  in  the  actual  practice  of  their  profes- 
sion at  least  three  years,  and  have  filed  with  the  commission  a  certified 
copy  of  the  certificate  of  a  judge  of  a  court  of  record,  showing  such 
qualifications  in  accordance  with  forms  prescribed  by  the  commission. 

Such  physicians  shall  jointly  make  a  final  examination  of  the  person 
alleged  to  be  insane  within  ten  days  next  before  the  granting  of  the 


THE  INSANITY  LAW  79 

order.  The  date  of  the  certificate  of  lunacy  shall  be  the  date  of  such 
joint  examination.  Such  certificate  of  lunacy  shall  be  in  the  form 
prescribed  by  the  commission,  and  shall  contain  the  facts  and  circum- 
stances upon  which  the  judgment  of  the  physicians  is  based  and  show 
that  the  condition  of  the  person  examined  is  such  as  to  require  care 
and  treatment  in  an  institution  for  the  care,  custody  and  treatment  of 
the  insane. 

Neither  of  such  physicians  shall  be  a  relative  of  the  person  applying 
for  the  order,  or  of  the  person  alleged  to  be  insane,  or  a  manager, 
superintendent,  proprietor,  officer,  stockholder,  or  have  any  pecuniary 
interest,  directly  or  indirectly,  or  be  an  attending  physician  in  the 
institution  to  which  it  is  proposed  to  commit  such  person. 

§  82.  Proceedings  to  determine  the  question  of  insanity. — i.  Any  per- 
son with  whom  an  alleged  insane  person  may  reside  or  at  whose  house 
he  may  be,  or  the  father  or  mother,  husband  or  wife,  brother  or  sister, 
or  the  child  of  any  such  person,  or  the  next  of  kin  available,  or  the 
committee  of  such  person,  or  an  officer  of  any  well-recognized  charita- 
ble institution  or  home,  or  any  overseer  of  the  poor  of  the  town,  or 
superintendent  of  the  poor  of  the  county  in  which  any  such  person 
may  be,  may  apply  for  such  order,  by  presenting  a  verified  petition 
containing  a  statement  of  the  facts  upon  which  the  allegation  of 
insanity  is  based,  and  because  of  which  the  application  for  the  order  is 
made.  Such  petition  shall  be  accompanied  by  the  certificate  of  lunacy 
of  the  medical  examiners,  as  prescribed  in  the  preceding  section.  No- 
tice of  such  application  shall  be  served  personally,  at  least  one  day 
before  making  such  application,  upon  the  person  alleged  to  be  insane, 
and  if  made  by  an  overseer  or  superintendent  of  the  poor,  also  upon 
the  husband  or  wife,  father  or  mother  or  next  of  kin  of  such  alleged 
insane  person,  if  there  be  any  such  known  to  be  residing  within  the 
county,  and  if  not,  upon  the  person  with  whom  such  alleged  insane 
person  may  reside,  or  at  whose  house  he  may  be.  The  judge  to 
whom  the  application  is  to  be  made  may  dispense  with  such  personal 
service,  or  may  direct  substituted  service  to  be  made  upon  some  per- 
son to  be  designated  by  him.  He  shall  state  in  a  certificate  to  be 
attached  to  the  petition  his  reason  for  dispensing  with  personal  service 
of  such  notice,  and  if  substituted  service  is  directed,  the  name  of  the 
person  to  be  served  therewith. 

The  judge  to  whom  such  application  is  made  may,  if  no  demand  is 
made  for  a  hearing  in  behalf  of  the  alleged  insane  person,  proceed 
forthwith  to  determine  the  question  of  insanity,  and  if  satisfied  that 
the  alleged  insane  person  is  insane,  may  immediately  issue  an  order 
for  the  commitment  of  such  person  to  an  institution  for  the  custody 
and  treatment  of  the  insane.  If,  however,  it  appears  that  such  insane 


8o  THE  INSANITY  LAW 

person  is  harmless  and  his  relatives  or  a  committee  of  his  person  are 
willing  and  able  to  properly  care  for  him,  at  some  place  other  than 
such  institution,  upon  their  written  consent,  the  judge  may  order  that 
he  be  placed  in  the  care  and  custody  of  such  relatives  or  such  com- 
mittee. Such  judge  may,  in  his  discretion,  require  other  proofs  in 
addition  to  the  petition  and  certificate  of  the  medical  examiners. 

Upon  the  demand  of  any  relative  or  near  friend  in  behalf  of  such 
alleged  insane  person,  the  judge  shall,  or  he  may  upon  his  own  motion, 
issue  an  order  directing  the  hearing  of  such  application  before  him  at 
a  time  not  more  than  five  days  from  the  date  of  such  order,  which  shall 
be  served  upon  the  parties  interested  in  the  application  and  upon  such 
other  persons  as  the  judge,  in  his  discretion,  may  name.  Upon  such 
day,  or  upon  such  other  day  to  which  the  proceeding  shall  be  regularly 
adjourned,  he  shall  hear  the  testimony  introduced  by  the  parties  and 
examine  the  alleged  insane  person  if  deemed  advisable,  in  or  out  of 
court,  and  render  a  decision  in  writing  as  to  such  person's  insanity.  If 
it  be  determined  that  such  person  is  insane,  the  judge  shall  forthwith 
issue  his  order  committing  him  to  an  institution  for  the  custody  and 
treatment  of  the  insane,  or  make  such  other  order  as  is  provided  in  this 
section.  If  such  judge  can  not  hear  the  application  he  may,  in  his 
order  directing  the  hearing,  name  some  referee,  who  shall  hear  the 
testimony  and  report  the  same  forthwith,  with  his  opinion  thereon,  to 
such  judge,  who  shall,  if  satisfied  with  such  report,  render  his  decision 
accordingly.  If  the  commitment  be  made  to  a  state  hospital,  the  order 
shall  be  accompanied  by  a  written  statement  of  the  judge  as  to  the 
financial  condition  of  the  insane  person  and  of  the  persons  legally 
liable  for  his  maintenance  as  far  as  can  be  ascertained.  The  superin- 
tendent of  such  state  hospital  shall  be  immediately  furnished  with  such 
commitment,  and  he  shall,  at  once,  make  provisions  for  the  transfer  of 
such  insane  person  to  such  hospital. 

The  petition  of  the  applicant,  the  certificate  in  lunacy  of  the  medical 
examiners,  the  order  directing  a  further  hearing  as  provided  in  this 
section,  if  one  be  issued,  and  the  decision  of  the  judge  or  referee,  and 
the  order  of  commitment  shall  be  presented  at  the  time  of  the  commit- 
ment to  the  superintendent  or  person  in  charge  of  the  institution  to 
which  the  insane  person  is  committed  and  verbatim  copies  shall  be 
forwarded  by  such  superintendent  or  person  in  charge  and  filed  in  the 
office  of  the  state  hospital  commission  and  in  the  office  of  the  clerk 
of  the  county  in  which  the  insane  person  resides.  The  judge,  how- 
ever, shall  order  all  such  papers  so  filed  in  the  county  clerk's  office 
sealed  and  exhibited  only  to  the  parties  to  the  proceedings,  or  some- 
one properly  interested,  upon  order  of  the  court.  The  relative,  or 
committee,  to  whose  care  and  custody  any  insane  person  is  committed, 


THE  INSANITY  LAW  81 

shall  forthwith  file  the  petition,  certificate  and  order,  in  the  office  of 
the  clerk  of  the  county  where  such  order  is  made,  and  transmit  a  cer- 
tified copy  of  such  papers,  to  the  commission  and  procure  and  retain 
another  such  certified  copy. 

The  superintendent  or  person  in  charge  of  any  institution  for  the  care 
and  treatment  of  the  insane  may  refuse  to  receive  any  person  upon  any 
such  order,  if  the  papers  required  to  be  presented  shall  not  comply 
with  the  provisions  of  this  section,  or  if  in  his  judgment,  such  person  is 
not  insane  within  the  meaning  of  this  statute,  or  if  received,  such  person 
may  be  discharged  by  the  commission.  No  person  shall  be  admitted 
to  any  such  institution  under  such  order  after  the  expiration  of  ten 
days  from  and  inclusive  of  the  date  thereof.  Notwithstanding  the 
requirements  of  this  section  that  an  alleged  insane  person  be  duly 
committed  by  an  order  of  the  court,  in  a  case  where  the  condition  of 
such  person  is  such  that  it  would  be  for  his  benefit  to  receive  immediate 
care  and  treatment,  or  where  there  is  no  other  proper  place  available 
for  his  care  and  treatment,  or  if  he  is  dangerously  insane  so  as  to 
render  it  necessary  for  public  safety  that  he  be  immediately  con- 
fined, he  shall  be  forthwith  received  by  a  state  or  licensed  private 
institution  authorized  by  law  to  care  for  the  insane.  In  such  case 
such  insane  person  shall  be  so  received  by  such  institution  upon  a 
certificate  of  lunacy,  executed  by  two  medical  examiners  in  lunacy 
after  the  examination  and  in  the  manner  provided  in  the  preceding 
section,  and  upon  a  petition  made  by  the  person  authorized  by  this 
section  to  apply  to  a  court  for  an  order  of  commitment.  By  virtue 
of  such  certificate  of  lunacy  and  such  petition  such  insane  person 
may  be  retained  in  such  institution  for  a  period  not  to  exceed  ten 
days.  Prior  to  the  expiration  of  such  time  an  order  for  his  commit- 
ment must  be  obtained  in  the  manner  provided  by  this  section.  The 
certificate  of  lunacy  executed  by  such  physicians  must  contain  ade- 
quate reasons  why  the  insane  person  should  be  immediately  received 
in  an  institution  for  the  insane  for  treatment.  The  superintendent  or 
person  in  charge  of  any  such  institution  may  refuse  to  receive  such  in- 
sane person  upon  such  certificate  and  petition,  if  in  his  judgment  the 
reasons  stated  in  the  certificate  are  not  sufficient  or  the  condition  of 
the  patient  is  not  of  such  character,  as  to  make  it  necessary  that  the 
patient  should  receive  immediate  treatment.  (Thus  amended  by 
chapter  506,  Laws  of  1919). 

2.  The  superintendent  of  any  state  hospital  for  the  insane  may, 
when  requested  by  a  health  officer,  receive  and  care  for  in  such  hos- 
pital as  a  patient,  for  a  period  not  exceeding  ten  days,  any  person  who 
needs  immediate  care  and  treatment  because  of  mental  derangement 
other  than  delirium  tremens  or  drunkenness.  Such  request  foradmis- 


82  THE  INSANITY  LAW 

sion  of  a  patient  shall  be  in  writing  and  shall  be  filed  at  the  hospital 
at  the  time  of  his  reception,  together  with  a  statement  in  a  form  pre- 
scribed or  approved  by  the  state  hospital  commission  giving  such 
information  as  said  commission  may  deem  appropriate.  Any  such 
patient  who  is  deemed  by  the  superintendent  not  suitable  for  such 
care  shall,  upon  the  formal  request  of  the  superintendent,  be  removed 
forthwith  from  the  hospital  by  the  health  officer  requesting  his  recep- 
tion, and,  if  he  is  not  so  removed,  the  town,  city  or  county  in  which 
the  patient  has  a  legal  settlement  as  provided  by  article  four  of  chap- 
ter fortyrsix  of  the  laws  of  nineteen  hundred  and  nine,  and  in  case 
such  person  has  gained  no  legal  settlement  then  the  county  in  which 
such  person  may  be  previous  to  the  time  of  admission,  shall  be  liable 
forthwith  for  all  reasonable  expenses  incurred  under  the  provisions  of 
this  subdivision  on  account  of  such  patient.  Unless  the  patient  shall 
sign  a  request  to  remain  as  a  voluntary  patient  under  the  provisions 
of  section  ninety-nine  of  this  chapter,  the  health  officer  making  applica- 
tion shall  cause  such  patient  to  be  examined  by  two  medical  examiners 
in  lunacy,  qualified  as  provided  in  the  preceding  section,  and  it  found 
insane  shall  cause  him  to  be  duly  committed  by  any  judge  of  a  court 
of  record,  or,  if  found  sane,  shall  cause  him  to  be  removed  therefrom 
before  the  expiration  of  said  period  of  ten  days.  Reasonable  expenses 
incurred  for  the  examination  of  the  patient  and  his  transportation  to 
and  from  the  hospital  shall  be  allowed  and  certified  by  the  judge  or 
justice  ordering  the  commitment  and  shall  be  a  charge  upon  the  town, 
city  or  county  as  provided  in  this  subdivision.  A  report  of  the  admis- 
sion of  a  patient  for  observation  under  the  provisions  of  this  sub- 
division, together  with  copy  of  formal  statement  of  health  officer 
shall  be  mailed  to  the  state  hospital  commission  within  twenty-four 
hours  after  such  admission.  (Thus  amended  by  chapter  307,  Laws 
of  1914). 

§  83.  Review  of  proceedings  and  order  of  commitment. — If  a  person 
ordered  to  be  committed,  pursuant  to  this  chapter,  or  any  relative  or 
friend  in  his  behalf,  be  dissatisfied  with  the  final  order  of  a  judge  or 
justice  committing  him,  he  may,  within  thirty  days  after  the  making 
of  such  order,  obtain  a  rehearing  and  a  review  of  the  proceedings 
already  had  and  of  the  order  of  commitment,  upon  petition  to  a  justice 
of  the  supreme  court  other  than  the  justice  making  the  order  of  com- 
mitment, who  shall  cause  a  jury  to  be  summoned  as  in  the  case  of 
proceedings  for  the  appointment  of  a  committee  for  an  insane  person 
where  the  question  of  fact  arising  upon  the  competency  of  the  person 
is  tried  by  a  jury,  and  shall  try  the  question  of  the  insanity  of  the  per- 
son so  committed  in  the  same  manner  as  provided  in  said  proceedings. 
If  such  petition  for  rehearing  and  review  be  made  by  any  other  than 


THE  INSANITY  LAW  83 

the  person  so  committed  or  the  father,  mother,  husband,  wife  or  child 
of  such  person  or  the  person  with  whom  the  person  committed  was 
residing  at  the  time  of  such  commitment  or  accustomed  to  reside,  be- 
fore such  rehearing  or  review  shall  be  had,  the  petitioner  shall  make  a 
deposit  or  give  a  bond,  to  be  approved  by  a  justice  of  the  supreme 
court,  for  the  payment  of  the  costs  and  expenses  of  such  rehearing, 
review  and  determination  of  the  question  of  insanity  by  a  jury  as 
aforesaid,  if  the  order  of  commitment  is  sustained.  If  the  verdict  of 
the  jury  be  that  such  person  is  sane,  the  justice  shall  forthwith  dis- 
charge him,  but  if  the  verdict  of  the  jury  be  that  such  person  is  in- 
sane, the  justice  shall  certify  that  fact  and  make  an  order  of  recommit- 
ment as  upon  the  original  hearing.  Such  order  shall  be  presented,  at 
the  time  of  the  recommitment  of  such  insane  person,  to,  and  filed  with, 
the  superintendent  or  person  in  charge  of  the  institution  to  which  the 
insane  person  is  committed  and  a  copy  thereof  shall  be  forwarded  to 
the  commission  by  such  superintendent  or  person  in  charge  and  filed 
in  the  office  thereof.  Proceedings  under  the  order  shall  not  be  stayed 
pending  an  appeal  therefrom,  except  upon  an  order  of  a  justice  of  the 
supreme  court,  and  made  upon  a  notice  and  after  a  hearing,  with  pro- 
visions made  therein  for  such  temporary  care  or  confinement  of  the 
alleged  insane  person  as  may  be  deemed  necessary.  If  a  judge  or  jus- 
tice shall  refuse  to  grant  an  application  for  an  order  of  commitment  of 
an  insane  person  proved  to  be  dangerous  to  himself  or  others,  if  at 
large,  he  shall  state  his  reasons  for  such  refusal  in  writing,  and  any 
person  aggrieved  thereby  may  obtain  a  rehearing  and  review  and  the 
determination  of  the  question  of  insanity  by  a  jury  in  the  same  manner 
and  under  like  conditions  as  from  an  order  of  commitment.  (Thus 
amended  by  chapter  155,  Laws  of  1909.) 

§  84.  Costs  of  commitment. — The  costs  necessarily  incurred  in  de- 
termining the  question  of  the  insanity  of  a  poor  or.  indigent  or  other 
person  under  this  chapter,  or  under  section  twenty-six  of  chapter  four 
hundred  and  forty-six  of  the  laws  of  eighteen  hundred  and  seventy- 
four,  including  the  fees  allowed  by  the  judge  or  justice  ordering 
the  commitment  to  the  medical  examiners  or  medical  witnesses 
called  by  him  and  other  necessary  expenses,  and  in  securing  the  ad- 
mission of  such  person  into  a  state  hospital  and  the  expense  of  provid- 
ing proper  clothing  and  proper  medical  care  and  nursing,  for  such 
person  in  accordance  with  the  rules  and  regulations  adopted  by  the 
commission,  shall  be  a  charge  upon  the  town,  city  or  county  securing 
the  commitment;  but  in  the  city  of  New  York  all  fees  of  medical 
examiners  and  medical  witnesses  appointed  or  called  by  a  judge  of  any 
court  in  said  city  for  the  purpose  of  determining  the  question  of  the 
insanity  of  any  such  person,  and  not  heretofore  paid,  may  be  audited 


84  THE  INSANITY  LAW 

and  allowed  in  the  first  instance  either  by  the  judge  or  justice 
appointing  the  medical  examiners  or  by  the  comptroller  of  said  city 
and  shall  be  paid  by  the  chamberlain  of  said  city  on  the  warrant  of 
the  comptroller  from  the  court  fund  and  charged  to  the  proper 
county  within  said  city.  If  the  person  sought  to  be  committed 
is  not  a  poor  or  indigent  person,  the  costs  and  expenses  of  the  proceed- 
ing to  determine  his  insanity  and  secure  his  commitment  paid  by  any 
town,  city  or  county  may  be  collected  by  it  from  the  estate  of  such  per- 
son, or  from  the  persons  legally  liable  for  his  maintenance,  and  the 
same  shall  be  a  charge  upon  the  estate  of  such  person,  or  the  same 
shall  be  paid  by  the  persons  legally  liable  for  his  maintenance.  The 
compensation  or  fees  and  expenses  of  health  officers  for  duties  per- 
formed in  respect  to  the  examination,  confinement,  care  and  treat- 
ment of  insane  or  alleged  insane  persons,  as  required  by  this  act,  shall 
in  each  case  be  determined  and  allowed  by  the  judge  or  justice  order- 
ing the  commitment  or  hearing  the  application,  and  shall  be  a  charge 
upon  the  town,  city  or  county  in  which  such  persons  reside  or  maybe. 
If  the  fees  and  expenses  so  determined  and  allowed  are  a  charge  upon 
the  county  or  town,  such  judge  or  justice  shall  issue  a  certificate 
stating  the  amount  thereof,  to  whom  to  be  paid,  and  whether  a  charge 
upon  the  county  or  a  town,  and  if  the  latter,  the  name  of  the  town, 
which  shall  be  presented  to  the  county  treasurer  and  be  paid  by  him 
out  of  any  moneys  available  for  such  purpose.  The  county  treasurer 
shall  report  the  amount  paid  by  him  on  account  of  such  fees  and  ex- 
penses to  the  board  of  supervisors,  and  the  amount  thereof  which  is 
chargeable  against  any  town  in  the  county  shall  be  levied  against  the 
taxable  property  thereof  in  the  same  manner  as  other  town  charges 
are  levied.  If  there  is  no  money  in  the  county  treasury  available  for 
the  payment  of  such  fees  and  expenses,  the  county  treasurer  is  hereby 
authorized  and  directed  to  borrow  on  the  credit  of  the  county  a  sum 
sufficient  to  pay  such  fees  and  expenses,  and  may  issue  certificates  of 
indebtedness  therefor,  the  principal  and  interest  of  which,  at  a  rate  not 
exceeding  six  per  centum,  shall  be  binding  upon  the  county,  and  shall 
be  paid  in  the  same  manner  as  other  county  obligations.  If  the  com- 
pensation or  fees  and  expenses  of  health  officers  as  so  determined  and 
allowed  are  a  charge  upon  a  city  they  shall  be  paid  in  the  same  manner 
as  the  other  expenses  of  the  health  department  or  bureau  in  such  city. 
(Thus  amended  by  chapter  608,  Laws  of  1910,  in  effect  October  i,  1910.) 
§  85.  Liability  for  care  and  support  of  poor  and  indigent  insane. — 
All  poor  and  indigent  insane  persons  not  in  confinement  under  crim- 
inal proceedings,  shall,  without  unnecessary  delay,  be  transferred  to  a 
state  hospital  and  there  wholly  supported  by  the  state.  The  costs 
necessarily  incurred  in  the  transfer  of  patients  to  state  hospitals  shall 


THE  INSANITY  LAW  85 

be  a  charge  upon  the  state.  The  commission  shall,  except  as  herein- 
after provided,  secure  from  the  patient's  estate  and  from  rela- 
tives or  friends  who  are  liable  or  may  be  willing  to  assume  the 
costs  of  support  of  inmates  of  state  hospitals  supported  by  the 
state,  reimbursement  at  the  rate  fixed  by  the  commission,  in 
whole  or  in  part,  of  the  money  thus  expended,  either  directly 
or  through  the  superintendents  or  treasurers  of  the  respective  hos- 
pitals, as  provided  in  section  fifty-four  of  this  chapter.  The  commis- 
sion may,  in  its  discretion,  waive  the  whole  or  a  portion  of  the  claim 
of  the  state  for  the  cost  of  the  support  of  a  patient  against  the  estate 
of  such  patient,  whenever  the  court  by  which  a  committee  was 
appointed  shall  have  directed  such  committee  to  apply  any  part  of 
the  patient's  estate  for  the  maintenance  of  his  family.  The  commis- 
sion may  appoint  agents,  whose  duty  it  shall  be  to  secure  from  relatives 
and  friends  who  are  liable  therefor,  or  who  may  be  willing  to  assume 
the  cost  of  support  of  any  inmate  of  a  state  hospital  who  is  being 
supported  by  the  state,  reimbursement,  in  whole  or  in  part,  of  the 
money  so  expended.  The  compensation  of  each  agent  shall  be  fixed 
by  the  commission  on  either  an  annual  or  per  diem  basis,  provided 
that  the  annual  compensation  shall  not  exceed  twenty-five  hundred 
dollars,  nor  the  per  diem  compensation  eight  dollars  a  day.  Each 
agent  shall  receive  his  necessary  traveling  and  other  incidental  expenses 
incurred  by  him,  to  be  approved  by  the  comptroller.  The  commission 
may  fix  the  rate  to  be  paid  for  the  support  of  an  inmate  of  a  state  hos- 
pital by  the  committee  of  such  inmate  or  by  relatives  liable  for  such 
support  or  by  those  not  liable  for  such  support,  but  willing  to  assume 
the  cost  thereof;  but  such  rate  shall  be  sufficient  to  cover  a  proper 
proportion  of  the  cost  of  maintenance  and  of  necessary  repairs 
and  improvements.  The  maintenance  of  any  inmate  of  a  state  hospital 
committed  thereto  upon  a  court  order  arising  out  of  any  criminal 
action,  shall  be  paid  by  the  county  from  which  such  inmate  was 
committed. 

§  2.  The  sum  of  nineteen  hundred  dollars  ($1,900)  is  hereby  appro- 
priated out  of  any  moneys  in  the  state  treasury  not  otherwise 
appropriated,  for  the  purpose  of  carrying  into  effect  the  provisions  of 
this  act.  (Thus  amended  by  chapter  488,  Laws  of  1919,  in  effect 
July  i,  1919.) 

§  86.  Liability  for  the  care  and  support  of  the  insane  other  than  the 
poor  and  indigent.— The  father,  mother,  husband,  wife  and  children  of 
an  insane  person,  if  of  sufficient  ability,  and  the  committee  or  guardian 
of  his  person  and  estate,  if  his  estate  is  sufficient  for  the  purpose, 
shall  cause  him  to  be  properly  and  suitably  cared  for  and  maintained. 
The  commission  and  the  health  officer  of  the  city,  town  or  village 


86  THE  INSANITY  LAW 

where  any  such  insane  person  may  be,  or  in  the  city  of  New  York 
and  in  the  county  of  Albany,  the  commissioners  of  public  charities, 
may  inquire  into  the  manner  in  which  any  such  person  is  cared  for 
and  maintained;  and  if,  in  the  judgment  of  any  of  them,  he  is  not 
properly  or  suitably  cared  for,  may  apply,  or  cause  application  to  be 
made,  to  a  judge  of  a  court  of  record  for  an  order  to  commit  him  to 
a  state  hospital  under  the  provisions  of  this  article,  but  such  order 
shall  not  be  made  unless  the  judge  finds  and  certifies  in  the  order 
that  such  insane  person  is  not  properly  or  suitably  cared  for  by  such 
relative  or  committee,  or  that  it  is  dangerous  to  the  public  to  allow 
him  to  be  cared  for  and  maintained  by  such  relative  or  committee. 
The  costs  and  charges  of  the  commitment  and  transfer  of  such  in- 
sane person  to  a  state  hospital  shall  be  paid  by  the  committee,  or  the 
father,  mother,  husband,  wife  or  children  of  such  person,  to  be  re- 
covered in  an  action  brought  in  the  name  of  the  people  by  the  com- 
mission, or  in  the  name  of  the  county,  city  or  town,  where  such  insane 
person  resides  or  may  be,  by  the  proper  officer  thereof,  or  in  the  city 
of  New  York  or  in  the  county  of  Albany  in  the  name  of  the  commis- 
sioner of  public  charities.  In  all  claims  of  the  state  upon  relatives 
liable  for  the  support  of  a  patient,  or  upon  moneys  or  property  held 
by  said  patient,  the  state  shall  be  deemed  a  preferred  creditor.  (Thus 
amended  by  chapter  608,  Laws  of  1910,  in  effect  October  1/1910.) 

§  87.  Duties  of  local  officers  in  regard  to  their  insane.  All  county 
superintendents  of  the  poor,  overseers  of  the  poor,  health  officers  and 
other  city,  town  or  county  authorities,  having  duties  to  perform  relating 
to  the  poor,  are  charged  with  the  duty  of  seeing  that  all  poor  and  in- 
digent insane  persons  within  their  respective  municipalities,  are  timely 
granted  the  necessary  relief  conferred  by  this  chapter.  The  poor 
officers  or  authorities  above  specified,  except  in  the  city  of  New  York 
and  in  the  county  of  Albany,  shall  notify  the  health  officer  of  the  town, 
city  or  village  of  any  poor  or  indigent  insane  or  apparently  insane  per- 
son within  such  municipality  whom  they  know  to  be  in  need  of  the 
relief  conferred  by  this  chapter.  When  so  notified,  or  when  otherwise 
informed  of  such  fact,  the  health  officer  of  the  city,  town  or  village, 
except  in  the  city  of  New  York  and  the  county  of  Albany,  where  such 
insane  or  apparently  insane  person  may  be,  shall  see  that  proceedings 
are  taken  for  the  determination  of  his  mental  condition  and  for  his 
commitment  to  a  state  hospital.  Such  health  officer  may  direct  the 
proper  poor  officer  to  make  an  application  for  such  commitment,  and, 
if  a  qualified  medical  examiner,  may  join  in  making  the  required  cer- 
tificate of  lunacy.  When  so  directed  by  such  health  officer  it  shall  be 
the  duty  of  said  poor  officer  to  make  such  application  for  commit- 
ment. When  notified  or  informed  of  any  poor  or  indigent  insane  or 


THE  INSANITY  LAW  87 

apparently  insane  person  in  need  of  the  relief  conferred  by  this  chapter, 
such*  health  officer  shall  provide  for  the  proper  care,  treatment  and 
nursing  of  such  person,  as  provided  by  law  and  the  rules  of  the  com- 
mission, pending  the  determination  of  his  mental  condition  and  his 
commitment  and  until  the  delivery  of  such  insane  person  to  the  attend- 
ant sent  to  bring  him  to  the  state  hospital,  as  provided  in  this  chapter. 
In  the  boroughs  of  Manhattan  and  the  Bronx,  in  the  city  of  New  York, 
it  shall  be  the  duty  of  the  trustees  of  Bellevue  and  allied  hospitals, 
and  in  the  boroughs  of  Brooklyn,  Queens  and  Richmond,  in  the  city  of 
New  York  and  also  in  the  county  of  Albany,  it  shall  be  the  duty  of  the 
commissioner  of  public  charities  to  see  that  all  poor  and  indigent 
insane  or  apparently  insane  persons  in  such  boroughs  or  county,  re- 
spectively, are  properly  cared  for  and  treated. 

It  shall  also  be  the  duty  of  such  trustees  of  Bellevue  and  allied  hos- 
pitals, or  the  commissioner  of  public  charities  of  the  city  of  New  York 
or  the  county  of  Albany,  to  see  that  proceedings  are  taken  for  the  de- 
termination of  the  mental  condition  of  any  such  person  in  the  boroughs 
or  county  mentioned,  who  comes  under  their  observation  or  is  reported 
to  them  as  apparently  insane,  and,  when  necessary,  to  see  that  pro- 
ceedings are  instituted  for  the  commitment  of  such  person  to  an  insti- 
tution for  the  care  of  the  insane;  provided  that  such  report  is  made  by 
any  person  with  whom  such  alleged  insane  person  may  reside,  or  at 
whose  house  he  may  be,  or  by  the  father,  mother,  husband,  wife,  brother, 
sister,  or  child  of  any  such  person,  or  next  of  kin  available,  or  by  any 
duly  licensed  physician,  or  by  any  peace  officer,  or  by  a  representa- 
tive of  an  incorporated  society  doing  charitable  or  philanthropic  work. 
When  the  trustees  of  Bellevue  and  allied  hospitals  are  thus  informed  of 
an  apparently  insane  person,  residing  in  the  boroughs  of  Manhattan  or 
the  Bronx,  or  when  the  commissioner  of  public  charities  of  the  city  of 
New  York  is  thus  informed  of  an  apparently  insane  person  residing  in 
the  boroughs  of  Brooklyn,  Queens  or  Richmond,  it  shall  be  the  duty  of 
these  authorities,  respectively,  to  send  a  nurse  or  a  medical  examiner 
in  lunacy,  attached  to  the  psychopathic  wards  of  their  respective  insti- 
tutions, or  both,  to  the  place  where  the  alleged  insane  person  resides 
or  is  to  be  found.  If,  in  the  judgment  of  the  chief  resident  alienist  of 
the  respective  psychopathic  wards  or  of  the  medical  examiner  thus 
sent,  the  person  is  in  immediate  need  of  care  and  treatment  or  obser- 
vation for  the  purpose  of  ascertaining  his  mental  condition,  he  shall  be 
removed  to  such  psychopathic  ward  fora  period  not  to  exceed  ten  days, 
and  the  person  or  persons  most  nearly  related  to  him,  so  far  as  the 
same  can  be  readily  ascertained  by  such  trustees,  or  commissioner, 
shall  be  notified  of  such  removal. 

When  an  order  of  commitment  has  been  made  as  provided  in  this 


88  THE  INSANITY  LAW 

chapter,  such  health  officer,  or,  in  the  city  of  New  York  and  in  the 
county  of  Albany,  the  authorities  above  specified  in  their  respective 
boroughs  or  county,  shall  see  that  such  insane  persons  are,  without 
unnecessary  delay,  transferred  to  the  proper  institutions  provided  for 
their  care  and  treatment  as  the  wards  of  the  state.  Before  sending  a 
person  to  any  such  institution,  they  shall  see  that  he  is  in  a  state  of 
bodily  cleanliness  and  comfortably  clothed  with  suitable  or  new  cloth- 
ing, in  accordance  with  the  regulations  prescribed  by  the  commission. 
Each  patient  shall  be  sent  to  the  state  hospital,  within  the  district  em- 
bracing the  county  from  which  he  is  committed,  except  that  the  com- 
mission may,  in  its  discretion,  direct  otherwise,  but  private  or  public 
insane  patients,  for  whom  homeopathic  care  and  treatment  may  be 
desired  by  their  relatives,  friends  or  guardians,  may  be  committed  to 
the  Middietown  State  Homeopathic  Hospital,  or  the  Gowanda  State 
Homeopathic  Hospital,  from  any  of  the  counties  of  the  state,  in  the 
discretion  of  the  judge  granting  the  order  of  commitment;  and  the 
hospital  to  which  any  patient  is  ordered  to  be  sent  shall,  by  and  under 
the  regulations  made  by  such  commission,  send  a  trained  attendant  to 
bring  the  patient  to  the  hospital.  Each  female  committed  to  any  in- 
stitution for  the  insane  shall  be  accompanied  by  a  female  attendant, 
unless  accompanied  by  her  father,  brother,  husband  or  son.  The 
commission  may,  by  order,  direct  that  any  person  it  deems  unsuitable 
therefor  shall  not  be  so  employed  or  act  as  such  attendant.  After  the 
patient  has  been  delivered  to  the  proper  officers  of  the  hospital,  the 
care  and  custody  of  the  municipality  from  which  he  is  sent  shall  cease. 
.  In  no  case  shall  any  insane  person  be  confined  in  any  other  place 
than  a  state  hospital  or  duly  licensed  institution  for  the  insane,  for  a 
period  longer  than  ten  days,  nor  shall  such  person  be  committed  as  a 
disorderly  person  to  any  prison,  jail  or  lock-up  for  criminals.  Except 
in  the  city  of  New  York  and  the  county  of  Albany,  the  health  officer 
of  the  town,  village  or  city  wherein  an  insane  or  alleged  insane  person 
may  be  shall  see  that  such  person  is  cared  for  in  a  place  suitable  for 
the  comfortable,  safe  and  humane  confinement  of  such  person,  pending 
the  determination  of  the  question  of  his  sanity  and  until  his  transfer  to 
a  state  hospital  or  some  other  proper  institution  for  the  insane  as  pro- 
vided in  this  chapter.  Such  person,  shall  not  be  confined  in  any  such 
place  without  an  attendant  in  charge  of  him,  and  the  said  health  officer 
shall  select  some  suitable  person  to  act  as  such  attendant. 

The  proper  authorities  of  any  such  town,  city  or  county  may  provide 
a  permanent  place  for  the  reception  and  temporary  confinement,  care 
and  nursing  of  insane  or  alleged  insane  persons  which  shall  conform  in 
all  respects  to  the  rules  and  requirements  of  the  commission;  all  poor 
and  indigent  insane  persons  received  at  any  such  place  for  investigation 


THE  INSANITY  LAW  89 

of  their  mental  condition  or  pending  commitment  and  transfer  to  a 
state  hospital  shall  be  maintained  therein  at  the  expense  of  such  town, 
city  or  county.  Any  person,  apparently  insane,  and  conducting  him- 
self in  a  manner  which  in  a  sane  person  would  be  disorderly,  may  be 
arrested  by  any  peace  officer  and  confined  in  some  safe  and  comfortable 
place  until  the  question  of  his  sanity  be  determined,  as  prescribed  by 
this  chapter.  The  officer  making  such  arrest  shall  immediately  notify 
the  health  officer  of  the  town,  village  or  city,  except  in  the  city  of  New 
York  and  in  the  "coimty  of  Albany,  who  shall  forthwith  take  proper 
measures  for  the  determination  of  the  question  of  the  insanity  of  such 
person,  and  for  his  proper  care  and  treatment  as  provided  in  this  section, 
pending  his  transfer  to  an  institution  for  the  insane.  Whenever  in  the 
city  of  New  York  an  information  is  laid  before  a  magistrate  that  a  per- 
son is  apparently  insane  the  magistrate  must  issue  a  warrant  directed 
to  the  sheriff  of  the  county  in  which  the  information  is  made,  or  any 
marshal  or  policeman  of  the  city  of  New  York,  reciting  the  substance 
of  the  information,  and  commanding  the  officer  forthwith  to  arrest  the 
person  alleged  to  be  insane,  and  bring  him  before  the  magistrate's  court 
out  of  which  the  warrant  was  issued.  If  iipon  arraignment  it  appears  to 
the  magistrate  presiding  that  the  person  so  arraigned  before  him  is 
apparently  insane  it  shall  be  the  duty  of  the  magistrate,  if  such  informa- 
tion is  laid  in  the  boroughs  of  Manhattan  and  the  Bronx,  to  commit  such 
apparently  insane  person  to  the  care  and  custody  of  the  board  of 
trustees  of  Bellevue  and  allied  hospitals  at  Bellevue  hospital,  and 
therein  kept  in  a  safe  and  comfortable  place  until  the  question  of  his 
sanity  be  determined  as  prescribed  by  this  chapter,  and  in  the  boroughs 
of  Brooklyn,  Queens  and  Richmond  the  said  magistrate  shall  commit 
such  apparently  insane  person  to  the  care  of  the  commissioner  of  public 
charities  who  shall  keep  such  person  in  a  safe  and  comfortable  place 
until  the  queston  of  his  sanity  be  determined  as  herein  prescribed. 
Whenever  in  the  city  of  New  York  a  person  is  committed  as  apparently 
insane  as  above  provided  it  shall  be  the  duty  of  the  board  of  trustees 
of  Bellevue  and  allied  hospitals  or  the  commissioner  of  public  charities, 
as  the  case  may  be,  to  forthwith  take  proper  measures  for  the  deter- 
mination of  the  question  of  the  insanity  of  such  person.  (Thus 
amended  by  chapter  380,  Laws  of  1919) . 

§88.  Duty  of  committee  and  others  to  care  for  the  insane;  appre- 
hension and  confinement  of  a  dangerous  insane  person. — When  an 
insane  person  is  possessed  of  sufficient  property  to  maintain  himself,  or 
his  father,  mother,  husband,  wife  or  children  are  of  sufficient  ability  to 
maintain  him,  and  his  insanity  is  such  as  to  endanger  his  own  person, 
or  the  person  and  property  of  others,  the  committee  of  his  person  and 
estate,  or  such  father,  mother,  husband,  wife  or  children  must  pro- 
vide a  suitable  place  for  his  confinement,  and  there  maintain  him  in 


QO  THE  INSANITY  LAW 

such  manner  as  shall  be  approved  by  the  health  officer  of  the  town, 
village  or  city  where  he  is  confined,  and  in  accordance  with  the  rules 
of  the  commission.  The  health  officers  of  towns,  villages  and  cities, 
or  in  the  boroughs  of  Manhattan  and  the  Bronx  in  the  city  of  New 
York  the  board  of  trustees  of  Bellevue  and  allied  hospitals,  and  in 
the  boroughs  of  Brooklyn,  Queens  and  Richmond  in  said  city,  and  also 
in  the  county  of  Albany,  the  commissioner  of  public  charities  are  re- 
quired to  see  that  the  provisions  of  this  section  are  carried  into  effect 
in  the  most  humane  and  speedy  manner. 

Upon  the  refusal  or  neglect  of  a  committee,  guardian  or  relative 
of  an  insane  person  to  cause  him  to  be  confined,  as  required  in  this 
chapter,  the  officers  named  in  this  section  shall  apply,  or  cause  appli- 
cation to  be  made,  to  a  judge  of  a  court  of  record  of  the  city  or 
county,  or  to  a  justice  of  the  supreme  court  of  the  judicial  district  in 
which  such  insane  person  may  reside  or  be  found,  who,  upon  being 
satisfied,  upon  proper  proofs,  that  such  person  is  dangerously  insane 
-and  improperly  cared  for  or  at  large,  shall  issue  a  precept  to  one  or 
more  of  the  officers  named,  commanding  them  to  apprehend  and  con- 
fine such  insari^  person  in  some  comfortable  and  safe  place;  and  such 
officers  in  apprehending  such  insane  person  shall  possess  all  the 
powers  of  a  peace  officer  executing  a  warrant  of  arrest  in  a  criminal 
proceeding.  Unless  an  order  of  commitment  has  been  previously 
granted,  such  officers  shall  forthwith  make,  or  cause  to  be  made, 
application  for  the  proper  order  for  his  commitment  to  the  proper 
institution  for  the  care,  custody  and  treatment  of  the  insane,  as  author- 
ized by  this  chapter,  and  if  such  order  is  granted,  such  officer  shall 
take  the  necessary  legal  steps  to  have  him  transferred  to  such  insti- 
tution. Pending  such  transfer  the  health  officer  of  the  proper  town, 
village  or  city,  and,  in  the  city  of  New  York  and  the  county  of  Albany, 
the  officers  above  named  for  the  respective  boroughs  or  county  shall 
see  that  such  insane  person  is  cared  for  in  a  suitable  place  and  is  pro- 
vided with  proper  medical  care  and  nursing.  The  cost  and  expense 
incurred  by  the  health  officer  in  the  performance  of  his  duties  under 
this  section  shall,  when  allowed  by  the  judge  or  justice  ordering  the 
commitment,  be  a  charge  against  the  town,  city  or  county  liable  for 
the  costs  of  the  commitment  of  an  insane  person  under  this  chapter 
and  shall  be  paid  in  the  manner  prescribed  by  section  eighty-four  of 
this  chapter. 

§  88-a.  Expenses  where  patient  is  found  sane  or  not  committed. — 
All  costs,  expenses,  compensation  and  examiners'  or  medical  fees,  to- 
gether with  the  fees  of  health  officers,  incurred  under  the  foregoing 
sections  eighty-two,  eighty-four,  eighty-seven  and  eighty-eight  shall 
be  determined,  allowed  and  paid  in  the  manner  therein  specified 
whether  the  patient  be  found  sane  or  insane  and  whether  or  not  the 
patient  be  committed.  (Added  by  chapter  598,  Laws  of  1920.) 


THE  INSANITY  LAW  91 

§  89.  Patients  admitted  under  special  agreement. — The  commission 
may  authorize  the  superintendent  of  a  state  hospital  to  admit  thereto 
under  special  agreement,  insane  patients,  who  are  residents  of  the  state, 
other  than  poor  and  indigent  insane  persons,  when  there  is  room  for 
such  insane  therein.  But  no  patient  shall  be  permitted  to  occupy  more 
than  one  room  in  any  state  hospital.  Such  patients,  when  so  received 
shall  be  subject  to  the  general  rules  and  regulations  of  the  hospital'. 
The  commission  shall  fix  the  rates  to  be  charged  for  the  maintenance 
of  such  insane  persons  in  a  state  hospital,  the  payment  of  which  shall 
be  secured  by  a  surety  company  bond,  which  shall  be  approved  by  the 
commission,  or  by  payment  in  advance  in  the  discretion  of  the  commis- 
sion, and  bills  therefor  shall  be  collected  monthly.  The  superintend- 
ent may  recommend  to  the  commission  the  removal  of  such  insane 
patients  to  duly  licensed  private  institutions  and  the  commission  shall 
have  power  in  its  discretion  to  compel  such  removal.  (Thus  amended 
by  chapter  568,  Laws  of  1918.) 

§  90.  Entries  in  case  book. — Every  superintendent  or  other  person  in 
charge  <of  an  institution  for  the  care  and  treatment  of  the  insane,  shall, 
within  three  days  after  the  reception  of  a  patient,  make,  or  cause  to 
be  made,  a  descriptive  entry  of  such  case  in  a  book  exclusively  set 
apart  for  that  purpose.  He  shall  also  make  or  cause  to  be  made 
entries  from  time  to  time,  of  the  mental  state,  bodily  condition  and 
medical  treatment  of  such  patient  during  the  time  such  patient  re- 
mains under  his  care,  and  in  the  event  of  the  discharge  or  death  of 
such  person,  he  shall  state  in  such  case  book  the  circumstances  thereof, 
and  make  such  other  entries  at  such  intervals  of  time  and  in  such  form 
as  may  be  required  by  the  commission. 

§  91.  Transfer  of  patients  when  hospital  is  overcrowded. — When  the 
building  of  any  state  hospital  shall  become  overcrowded  with  patients, 
or  the  number  of  buildings  shall  be  reduced  by  fire,  or  other  casualties 
or  for  other  cause,  the  commission  may,  in  its  discretion,  cause  the 
transfer  of  patients  therefrom,  or  direct  that  patients  required  to  be 
sent  thereto,  be  transferred  to  another  state  hospital,  where  they  can 
be  conveniently  received,  or  make,  in  special  emergencies,  temporary 
provision  for  their  care,  preference  to  be  given  in  such  transfers  to  a 
hospital  in  and  adjoining  rather  than  in  a  remote  district.  The  expenses 
of  such  transfer  shall  be  chargeable  to  the  state,  and  the  bills  for  the 
same,  when  approved  by  the  commission,  shall  be  paid  by  the  treasurer 
of  the  state,  on  the  warrant  of  the  comptroller,  out  of  any  moneys 
provided  for  the  support  of  the  insane. 

§  92.  Investigation  into  the  care  and  treatment  of  the  insane.— When 
the  commission  has  reason  to  believe  that  any  person  adjudged  insane 
is  wrongfully  deprived  of  his  liberty,  or  is  cruelly,  negligently  or  im- 
properly treated,  or  inadequate  provision  is  made  for  his  skilful  med- 


92  THE  INSANITY  LAW 

ical  care,  proper  supervision  and  safe  keeping,  it  may  ascertain  the 
facts,  or  may  order  an  investigation  of  the  facts  by  one  of  its  members. 
It,  or  the  commissioner  conducting  the  proceeding,  may  issue  com- 
pulsory process  for  the  attendance  of  witnesses  and  the  production  of 
papers,  and  exercise  the  powers  conferred  upon  a  referee  in  the 
supreme  court.  If  the  commission  deem  it  proper,  it  may  issue  an 
order  directed  to  any  or  all  institutions,  directing  and  providing  for 
such  remedy  or  treatment,  or  both,  as  shall  be  therein  specified.  If 
such  order  be  just  and  reasonable,  and  be  approved  by  a  justice  of  the 
supreme  court,  who  may  require  notice  to  be  given  of  the  appli- 
cation for  such  approval,  it  shall  be  binding  upon  any  and  all  insti- 
tutions and  persons  to  which  it  is  directed,  and  any  willful  disobedi- 
ence of  such  order  shall  be  a  criminal  contempt  and  punishable  as 
such.  Whenever  the  commission  shall  undertake  an  investigation 
into  the  general  management  and  administration  of  any  institution  for 
the  insane,  it  may  give  notice  to  the  attorney-general  of  any  such 
investigation,  and  the  attorney-general  shall  appear  personally  or  by 
deputy  and  examine  witnesses  who  may  be  in  attendance.  Tlje  com- 
mission, or  any  member  thereof,  may  at  any  time  visit  and  examine 
the  inmates  of  any  county  or  city  alms-house,  to  ascertain  if  insane 
persons  are  kept  therein. 

§  93.  Habeas  corpus.  Any  one  in  custody  as  an  insane  person  is 
entitled  to  a  writ  of  habeas  corpus,  upon  a  proper  application  made 
by  him  or  some  friend  in  his  behalf.  Upon  the  return  of  such  writ, 
the  fact  of  his  insanity  shall  be  inquired  into  and  determined.  The 
medical  history  of  the  patient,  as  it  appears  in  the  case  book,  shall  be 
given  in  evidence,  and  the  superintendent  or  medical  officer  in  charge 
of  the  institution  wherein  such  person  is  held  in  custody,  and  any 
proper  person,  shall  be  sworn  touching  the  mental  condition  of  such 
person.  Where  a  second  or  subsequent  application  is  made  for  the 
discharge  from  custody  of  the  same  patient,  any  party  to  the  proceed- 
ing may  introduce  in  evidence  any  testimony,  in  relation  to  the  mental 
condition  of  such  patient,  received  upon  any  former  hearing  or  trial, 
together  with  all  the  exhibits  introduced  in  evidence  upon  such  hear- 
ing or  trial  in  connection  with  such  testimony  without  calling  the  wit- 
nesses who  gave  such  testimony,  such  evidence  to  have  the  same  force 
and  effect  as  if  such  witnesses  had  been  called.  (Thus  amended  by 
chapter  542,  Laws  of  1913.) 

§  94.  Discharge  of  patients. — The  superintendent  of  a  state  hospital, 
on  filing  his  written  certificate  with  the  commission,  may  discharge 
any  patient,  except  one  held  upon  an  order  of  a  court  or  judge  having 
criminal  jurisdiction  in  an  action  or  proceeding  arising  out  of  a 
criminal  offense  at  any  time,  as  follows : 


THE  INSANITY  LAW  93 

1.  A  patient  who,  in  his  judgment,  is  recovered. 

2.  A  patient  who,  in  his  opinion,  is  a  dotard,  not  insane. 

3.  Any  patient  who  is  not  recovered  but  whose   discharge,  in  the 
judgment  of  the  superintendent,  will  not  be  detrimental  to  the  public 
welfare,  or  injurious  to  the  patient;  provided,  however,  that  before  ' 
making  such  certificate,  the  superintendent  shall  satisfy  himself,  by 
sufficient  proof,  that  friends  or  relatives  of  the  patient  are  willing 
and  financially  able   to  receive  and  properly  care  for   such  patient 
after  his  discharge. 

When  the  superintendent  is  unwilling  to  certify  to  the  discharge  of 
an  unrecovered  patient  upon  request,  and  so  certifies  in  writing,  giving 
his  reasons  therefor,  any  judge  of  a  court  of  record  in  the  judicial  dis- 
trict in  which  the  hospital  is  situated  may,  upon  such  certificate  and 
an  opportunity  of  a  hearing  thereon  being  accorded  the  superintend- 
ent, and  upon  such  other  proofs  as  may  be  produced  before  him, 
direct,  by  order,  the  discharge  of  such  patient,  upon  such  security  to 
the  people  of  the  state  as  he  may  require,  for  the  good  behavior  and 
maintenance  of  the  patient.  The  certificate  and  the  proof  and  the 
order  granted  thereon  shall  be  filed  in  the  clerk's  office  of  the  county 
in  which  the  hospital  is  situated,  and  a  certified  copy  of  the  order  in 
the  hospital  from  which  the  patient  is  discharged.  The  superintend- 
ent may  grant  a  parole  to  a  patient  not  exceeding  one  year,  under 
general  conditions  prescribed  by  the  commission.  The  hospital  parol- 
ing a  patient  shall  not  be  liable  for  his  expenses  while  on  parole. 
Such  liability  shall  devolve  upon  the  relative,  committee  or  person  to 
whose  care  the  patient  is  paroled,  or  the  proper  poor  official  of  the 
town  or  county  in  which  he  may  have  found  domicile. 

The  commission  may,  by  order,  discharge  any  patient  in  its  judg- 
ment improperly  detained  in  any  institution.  A  poor  and  indigent 
patient  discharged  by  the  superintendent  because  he  is  an  idiot,  or  a 
dotard  not  insane,  or  an  epileptic,  not  insane,  or  because  he  is  not  a 
proper  case  for  treatment  within  the  meaning  of  this  chapter,  shall  be 
received  and  cared  for  by  the  superintendent  of  the  poor,  or  other 
authority  having  similar  powers,  in  the  county  from  which  he  was 
committed.  A  patient,  held  upon  an  order  of  a  court  or  judge  having 
criminal  jurisdiction,  in  an  action  or  proceeding  arising  from  a  crimi- 
nal offense,  may  be  discharged  upon  the  superintendent's  certificate 
of  recovery,  approved  by  any  such  court  or  judge. 

4.  Discharge  of  patients  from  licensed  institutions. — The  superin- 
tendent or  physician  in  charge  of  a  licensed  private  institution,  on. 
filing  his  written  certificate  with  the  commission,  may  discharge  any 
patient  who  is  recovered,  or,  if  not  recovered,  whose  discharge  will 
not  be  detrimental  to  the  public  welfare,  or  injurious  to  the  patient. 
The  superintendent  or  physician  in  charge  of  such  institution  may, 

7 


94  THE  INSANITY  LAW 

subject  to  the  approval  of  the  commission,  refuse  to  discharge  any 
patient,  if,  in  his  judgment,  such  discharge  will  be  detrimental  to  the 
public  welfare  or  injurious  to  the  patient,  and  if  the  committee  or 
relatives  of  such  patient  refuse  to  provide  properly  for  his  care  and 
treatment,  the  superintendent  or  physician  in  charge  of  such  insti- 
tution may  apply  to  the  commission  for  the  transfer  of  the  patient  to  a 
state  hospital,  provided  the  patient  so  sought  to  be  transferred  is  a 
legal  resident  of  the  district  in  which  the  hospital  is  located,  to 
which  the  transfer  is  sought. 

The  superintendent  or  physician  in  charge  of  a  licensed  private  in- 
stitution may  grant  a  parole  to  a  patient  not  exceeding  one  year, 
under  general  conditions  prescribed  by  the  commission.  (Thus 
amended  by  chapter  335,  Laws  of  1917.) 

§  95.  Clothing  and  money  to  be  furnished  discharged  or  paroled 
patients. — No  patient  shall  be  discharged  or  paroled  from  a  state  hos- 
pital without  suitable  clothing  adapted  to  the  season  in  which  he  is 
discharged  or  paroled ;  and  if  it  can  not  be  otherwise  obtained,  the 
steward  shall,  upon  the  order  of  the  superintendent,  furnish  the  same, 
and  money  not  exceeding  twenty-five  dollars,  to  defray  his  necessary 
expenses  until  he  can  reach  his  relatives  or  friends,  or  find  employment 
to  earn  a  subsistence.  (Thus  amended  by  chapter  320,  Laws  of  1917.) 

§  96.  Transfer  of  non-resident  patients. — If  an  order  be  issued  by  any 
judge,  committing  to  a  state  hospital  a  poor  or  indigent  person,  who 
has  not  acquired  a  legal  settlement  in  this  state,  the  commission  in 
lunacy  shall  return  such  insane  person,  either  before  or  after  his 
admission  to  a  state  hospital,  to  the  country  or  state  to  which  he 
belongs,  and  for  such  purpose  may  expend  so  much  of  the  money 
appropriated  for  the  care  of  the  insane  as  may  be  necessary,  subject 
to  the  audit  of  the  comptroller. 

§  97.  Insane  Indians. — Poor  and  indigent  insane  Indians  living  within 
this  state  or  upon  any  of  the  Indian  reservations  therein  shall  be 
committed  to,  confined  in,  and  discharged  from  the  state  hospitals  for 
the  insane  in  the  same  manner  and  under  the  same  rules  and  regula- 
tions as  other  poor  and  indigent  insane  persons;  and  all  the  provisions 
of  this  chapter  shall  apply  to  the  Indians  residing  within  this  state 
the  same  as  to  other  persons. 

§  98.  Disposition  of  unclaimed  personal  property,  including  money,  of 
discharged  or  deceased  patients,  and  of  interest  accruing  on  patients 
funds.  All  articles  of  personal  property  belonging  to  a  discharged 
or  deceased  patient  of  a  state  hospital  for  the  insane  and  in  the  custody 
of  the  superintendent  or  other  proper  officer  of  such  hospital,  may,  if 
unclaimed  by  such  discharged  patient,  or  the  legal  representatives  of 
such  deceased  patient,  for  a  period  of  six  months  after  the  discharge  or 
decease  of  such  patient,  be  disposed  of  in  such  manner  as  the  commis- 


THE  INSANITY  LAW  95 

sion  shall  prescribe.  Any  moneys  remaining  to  the  credit  of  deceased 
or  discharged  patients,  if  unclaimed  by  their  legal  representatives,  or 
such  discharged  patient,  for  a  period  of  one  year  after  the  decease  or 
discharge  of  such  patient,  and  the  interest  accruing  on  the  moneys  be- 
longing, to  patients  still  in  the  custody  of  the  hospital  may,  subject  to 
the  approval  of  the  commission,  be  paid  into  the  amusement  fund  or 
the  occupation  fund  of  such  hospital.  (Thus  amended  by  chapter 
503,  Laws  of  1915.) 

§  99.  Voluntary  patients  in  state  hospitals  and  licensed  private  in- 
stitutions.— Pursuant  to  rules  and  regulations  established  by  the  com- 
mission, the  superintendent  or  person  in  charge  of  any  state  hospital  or 
licensed  private  institution  for  the  care  and  treatment  of  the  insane, 
except  the  Matteawan  and  Dannemora  state  hospitals,  may  receive 
and  retain  therein  as  a  patient  any  person  suitable  for  care  and  treat- 
ment, and  who  voluntarily  makes  written  application  therefor,  and 
whose  mental  condition  is  such  as  to  render  him  competent  to  make 
such  application.  A  person  thus  received  at  such  hospital  or  institu- 
tion shall  not  be  detained  under  such  voluntary  agreement  more 
than  ten  days  after  having  given  notice  in  writing  of  his  intention  or 
desire  to  leave  such  hospital  or  institution.  The  superintendent  or 
physician  in  charge  of  a  state  hospital  shall,  within  three  days  after  the 
admission  of  a  patient  by  such  voluntary  agreement,  forward  to  the 
office  of  the  commission,  the  record  of  such  patient  in  accordance  with 
the  provisions  of  section  fifteen  of  this  chapter,  and  such  rules  and 
regulations  as  may  be  established  by  the  commission. 

The  superintendent  or  physician  in  charge  of  a  licensed  private  in- 
stitution for  the  care  and  treatment  of  the  insane  shall  furnish  the 
medical  commissioner  or  the  medical  inspector  a  complete  list  of  all 
voluntary  cases  received  since  the  last  visit  of  such  commissioner  or 
inspector.  It  shall  be  the  duty  of  such  commissioner  or  inspector  to 
examine  such  cases  and  determine  if  they  belong  to  the  voluntary 
class,  and  the  decision  as  to  commitment  or  discharge  shall  be  forth- 
with complied  with  by  the  superintendent  or  physician  in  charge  of 
such  institution.  Any  failure  to  conform  to  the  requirements  of  this 
section  shall  be  considered  a  sufficient  cause  for  revocation  of  the 
license.  (Thus  amended  by  chapter  121,  Laws  of  1912.) 

§  100.  Temporary  custody  of  personal  property  of  insane  patients. 
The  superintendent  of  any  state  hospital  for  the  insane  shall,  upon 
the  admission  of  a  patient  to  such  hospital,  be  entitled  to  the 
temporary  and  immediate  custody  of  the  personal  property  on  the 
person  of  the  patient  so  committed  upon  the  giving  of  a  receipt  there- 
for by  the  superintendent  or  his  duly  authorized  representative  to  the 
person,  institution  or  hospital  having  possession  thereof.  (Thus 
.amended  by  chapter  507,  Laws  of  1919). 


96  THE  INSANITY  LAW 

ARTICLE  V 

Retirement  of  Officers  and  Employees  of  the 
State  Hospital  System 

vSection  109.  Definition. 

no.  Retirement  fund  created ;  custody  and  control. 
in.  Retirement  of  officers  and  employees. 

112.  Proceedings  for  retirement;  physical  disability. 

113.  Retirement  for  disability  caused  by  injury. 

114.  Term  of  service;  how  computed. 

115.  Contributions  to  retirement  fund. 

116.  Repayments  when  retirement  is  without  fault  of  officer 

or  employee;  payments  in  case  of  death. 

117.  Forfeiture  of  right  to  annuity  by  default  in  making  con- 

tributions. 

118.  Temporary  officers  and  employees. 

1 19.  Retirement  board  created. 

120.  Medical  examiners. 

121.  Application  blanks. 

122.  Expenses  of  administration. 

§  109.  Definition.  Wherever  the  state  hospital  system  is  mentioned 
in  this  act  it  includes  the  officers  and  employees  of  all  the  state  hospi- 
tals, including  Dannemora  and  Matteawan  state  hospitals;  the  med- 
ical member  of  the  state  hospital  commission  and  medical  inspectors 
who  have  had  previous  experience  in  the  New  York  state  hospitals 
and  employees  of  the  state  hospital  commission ;  the  bureau  of  deporta- 
tion and  the  psychiatric  institute. 

§  no.  Retirement  fund  created;  custody  and  control. — A  permanent 
fund  for  the  payment  of  annuities  to  officers  and  employees  of  the  New 
York  state  hospital  system  for  the  insane  in  the  employ  of  the  state 
of  New  York  is  hereby  established,  such  fund  to  consist  of  moneys  that 
may  be  paid  in  by  those  entitled  to  the  benefits  of  the  provisions  of  this 
section  as  hereinafter  provided;  moneys  received  from  donations,  gifts 
and  bequests;  moneys  received  from  deductions  for  leave  of  absence 
without  pay,  for  not  less  than  twenty-four  hours  nor  more  than  thirty 
days  in  anyone  year;  moneys  received  from  deductions  for  sickness, 
for  not  less  than  twenty-four  hours  nor  more  than  ninety  days  in  any 
one  year,  and  moneys  received  from  other  sources.  The  treasurer  or 
other  officer  of  any  department  of  the  state  hospital  system  who  col- 
lects or  receives  money,  hereby  declared  to  be  part  of  such  fund,  shall 
pay  to  the  comptroller  of  the  state  of  New  York,  who  shall  place  the 


THE  INSANITY  LAW  97 

same  in  such  fund,  which  shall  be  invested  by  him  and  the  money 
received  from  interest  thereon  shall  be  credited  to  said  fund.  All 
moneys  belonging  to  the  fund  herein  provided  for  shall  be  received 
by  the  comptroller  of  the  state  of  New  York  who  shall  have  charge 
of  the  administration  thereof,  and  who  shall  pay  therefrom  the  annui- 
ties, payable  quarterly  throughout  life,  or  other  benefits  that  may 
become  due  and  payable  hereunder.  The  retirement  board  provided 
for  in  this  article  shall  from  time  to  time  establish  such  reasonable 
rules  and  regulations  for  the  administration  and  investment  of  such 
fund  as  will  insure  the  perpetuation  thereof.  The  comptroller  of  the 
state  of  New  York  shall  report  annually  for  the  fiscal  year  to  the 
retirement  board  the  condition  of  said  fund  in  detail,  giving  all  items 
of  receipts  and  disbursements  and  his  recommendation  in  regard 
thereto.  This  report  shall  be  published  with  and  as  a  part  of  the 
annual  report  of  the  state  hospital  commission. 

§  in.  Retirement  of  officers  and  employees. — Any  officer  or  employee 
of  the  New  York  state  hospital  system  for  the  care  of  the  insane,  includ- 
ing the  Matteawan  and  Dannemora  state  hospitals  for  criminal  insane, 
who  shall  have  signified  his  or  her  intention  to  take  advantage  of  the 
provisions  of  this  article  and  who  shall  faithfully  and  honestly  dis- 
charge his  or  her  duty  in  -one  or  more  of  such  state  hospitals,  or  state 
hospital  department  or  in  any  former  city  or  county  asylum,  now  a 
state  hospital  for  the  insane,  or  partly  in  each  for  twenty-five  years, 
shall  upon  his  or  her  application  to  the  retirement  board  be  entitled 
to  retirement;  provided,  however,  in  the  opinion  of  such  board 
there  is  sufficient  money  in  the  fund  to  warrant  such  retirement. 
Every  applicant  must  be  in  the  service  of  the  state  hospital  system 
for  the  insane,  as  hereinbefore  provided,  at  the  time  application  is 
made  for  retirement,  and  shall  remain  in  the  said  service  until  notified 
by  the  retirement  board  of  his  or  her  retirement.  Any  person  retired 
pursuant  to  the  provisions  of  this  section  must  be  awarded,  granted 
and  paid  from  said  retirement  fund  an  annual  amount  equal  to  one-half 
of  the  wages  or  compensation,  including  maintenance,  as  fixed  by  the 
state  hospital  commission  or  by  statute  received  by  him  or  her,  for 
the  year  immediately  preceding  the  application  for  retirement,  pro- 
vided, however,  that  no  person  shall  receive  such  annuity  until  he  or 
she  shall  have  paid  into  the  said  fund,  by  deductions  from  his  or  her 
wages,  or  by  contributions  in  full,  an  amount  equal  to  fifty  per  centum 
of  his  or  her  first  year's  annuity,  and  provided  further  that  any  such 
person  who  has  been  reduced  in  grade  after  twenty-five  years  of  ser- 
vice shall  be  retired  at  the  rate  of  wages  and  maintenance  received  by 
him  or  her  during  the  twenty-fifth  year  of  service  and  provided  f urhter 


98  THE  INSANITY  LAW 

that  no  annuity  shall  exceed  the  sum  of  fifteen  hundred  dollars  per 
annum.  Such  annuity  shall  become  effective  from  the  first  of  the 
month  immediately  subsequent  to  the  date  of  the  meeting  of  the 
retirement  board  taking  action  on  same,  and  shall  be  for  the  natural 
life  of  such  person  and  payable  in  quarterly  installments,  and  shall 
not  be  revoked,  repealed,  diminished  or  subject  to  claim  of  creditors. 

§  112.  Proceedings  for  retirement;  physical  disability. — The  retire- 
ment board  shall  have  power  upon  its  own  motion  or  upon  the  applica- 
tion in  writing  of  any  person  entitled  to  the  benefit  of  the  retirement 
fund  to  retire  any  such  person  who  shall  have  faithfully  and  honestly 
discharged  his  or  her  duties  in  any  department  of  the  state  hospital 
system  including  the  Matteawan  and  Dannemora  state  hospitals  for 
criminal  insane,  or  former  city  or  county  asylum  now  a  state  hospital, 
or  partly  in  each  for  twenty-five  years,  or  who  shall  have  performed 
such  duties  for  fifteen  years  or  more,  faithfully  and  honestly  and  who 
shall  have  become  mentally  or  physically  incapacitated  by  reason  of 
accident  or  illness,  provided,  however,  that  reasonable  notice  in  writing, 
shall  be  given  by  the  board  or  one  of  its  members  of  its  proposed 
action,  to  the  person  intended  to  be  retired  and  an  opportunity  afforded 
to  such  person  to  be  heard  before  the  final  action  is  taken  by  such 
board,  and  said  board  shall  certify  in  writing  the  reason  for  such  retire- 
ment, and  that  the  best  interests  of  the  public  service  demand  the  same. 
To  aid  in  such  determination,  the  board  may  cause  the  person  intended 
to  be  retired,  to  be  physically  examined  by  the  medical  examiners  here- 
inafter provided  for.  Any  person  retired  pursuant  to  the  provisions 
of  this  section  must  be  awarded,  granted  and  paid  from  said  retire- 
ment fund  an  annual  amount  equal  to  as  many  twenty-fifths  of  one- 
half  of  the  wages  or  compensation,  including  maintenance  received 
by  him  or  her  for  the  year  immediately  preceding  the  application  for 
retirement  as  he  or  she  has  served  years,  provided,  however,  in  the 
opinion  of  the  retirement  board,  there  is  sufficient  money  in  the  fund 
to  warrant  such  retirement,  and  provided  further  that  no  person  shall 
receive  such  annuity  until  he  or  she  shall  have  paid  into  said  fund  by 
deductions  from  his  or  her  wages  or  salary  or  by  contribution  in  full 
an  amount  equal  to  fifty  per  centum  of  his  or  her  first  year's  annuity,  and 
further  provided  that  no  such  annuity  shall  exceed  fifteen  hundred 
dollars  per  annum.  Such  annuity  shall  become  effective  from  the  first 
of  the  month  immediately  subsequent  to  the  date  of  the  meeting  of 
the  retirement  board  taking  action  on  same,  shall  be  payable  in  quar- 
terly installments  and  shall  not  be  diminished  or  subject  to  the  claims 
of  creditors.  Officers  or  employees  retired  for  disability  under  the 
provisions  of  this  section  shall  be  subject  to  an  examination  by  %, 
medical  examiner  or  board  appointed  by  the  retirement  board,  or  by 


THE  INSANITY  LAW  99 

the  retirement  board  itself;  and  in  the  event  of  an  officer  or  employee 
so  retired  becoming  able  to  perform  active  service  again,  he  or  she 
may  be  reinstated  by  the  superintendent  or  other  appointing  power 
on  a  certificate  of  the  retirement  board  that  such  retired  officer  or 
employee  is  again  able  to  perform  duty,  and  such  annuity  shall  cease 
upon  the  date  of  such  reinstatement. 

§  113.  Retirement  for  disability  caused  by  injury. — Any  officer  or 
employee  of  the  New  York  state  hospital  system  for  the  insane  who 
shall  have  signified  his  or  her  intention  to  take  advantage  of  the  pro- 
visions of  this  article  and  who  upon  the  report  of  the  medical  examiner 
hereinafter  provided  for  to  the  retirement  board,  has  become  totally 
disabled  by  reason  of  an  injury  received  in  the  line  of  duty  or  at  the 
hands  of  a  patient  of  the  New  York  state  hospital  system  for  the  in- 
sane including  the  Matteawan  and  Dannemora  state  hospitals  for 
criminal  insane,  and  incapacitated  for  performing  the  duties  of  the 
position,  shall  be  retired  with  such  allowances  as  under  the  circum- 
stances may  appear  fitting  to  the  retirement  board,  independently  of 
length  of  service,  but  such  allowance  shall  not  be  less  than  ten  twenty- 
fifths  of  one-half  of  the  wages,  including  maintenance,  provided, 
however,  in  the  opinion  of  the  retirement  board,  there  is  sufficient 
money  in  the  fund  to  warrant  such  retirement,  and  provided  further 
that  no  person  shall  receive  such  annuity  until  he  or  she  shall  have 
paid  into  the  said  fund  by  deductions  from  his  or  her  wages  or  by 
contribution  in  full  an  amount  equal  to  fifty  per  centum  of  his  or  her 
first  year's  annuity  as  hereinbefore  provided.  Such  annuity  shall  be- 
come effective  from  the  first  of  the  month  immediately  subsequent  to 
the  date  of  the  meeting  of  the  retirement  board  taking  action  on  same, 
shall  be  payable  in  quarterly  installments,  and  shall  not  be  diminished 
or  subject  to  the  claim  of  creditors.  Officers  and  employees  retired 
for  disability  under  the  provisions  of  this  section  shall  be  subject  to  an 
examination  by  a  medical  examiner  or  board  appointed  by  the  retire- 
ment board,  or  by  the  retirement  board  itself;  and  in  the  event  of  an 
officer  or  an  employee  so  retired  becoming  able  to  perform  active 
service  again,  he  or  she  may  be  reinstated  by  the  superintendent  or 
other  appointing  power  on  a  certificate  of  the,  retirement  board  that 
such  retired  officer  or  employee  is  again  able  to  perform  duty,  and 
such  annuity  shall  cease  upon  the  date  of  such  reinstatement. 

§  114.  Term  of  service;  how  computed — The  term  of  service  of  an 
officer  or  employee  of  the  New  York  state  hospital  system  for  the 
insane  shall  be  computed  according  to  the  time  such  person  was  upon 
the  pay-roll  of  the  state  hospital  system,  including  the  Matteawan 
and  Dannemora  state  hospitals  for  criminal  insane,  or  any  city  or 
county  asylum  now  a  New  York  state  hospital  for  the  insane.  Any 


too  THE  INSANITY  LAW 

time  for  which  any  contribution  may  have  been  repaid  to  an  officer 
or  employee  as  provided  in  section  one  hundred  and  sixteen  shall  not, 
in  case  the  officer  or  employee  re-enters  the  service,  be  counted  or 
considered  in  making  retirements,  unless  the  amount  of  such  repay- 
ment shall  be  paid  into  the  fund,  with  interest  at  the  rate  of  four  per 
centum  from  the  time  it  was  repaid  to  the  officer  or  employee. 

§  115.  Contributions  to  retirement  fund.—  Every  officer  or  employee 
of  the  New  York  state  hospital  system  for  the  insane  who  shall  have 
signified  his  or  her  intention  to  take  advantage  of  the  provisions  of 
this  article  shall  contribute  to  said  fund  and  the  treasurer  or  other 
officer  of  the  state  hospital  system  as  hereinbefore  provided  shall  at 
the  end  of  the  first  full  calendar  month  after  this  section  as  hereby 
amended  takes  effect  deduct  and  retain  monthly  from  the  wages  and 
maintenance  of  such  persons  and  pay  to  the  the  comptroller  of  the 
state  of  New  York  who  shall  credit  the  said  fund  by  amounts  as  fol- 
lows :  Persons  who  have  performed  such  duty  for  less  than  five  years, 
one  per  centum.  Persons  who  have  performed  such  duty  for  more 
than  five  years  and  less  than  ten  years,  one  and  one-half  per  centum. 
Persons  who  have  performed  such  duty  for  more  than  ten  years  and 
less  than  fifteen  years,  two  per  centum.  Persons  who  have  per- 
formed such  duty  for  more  than  fifteen  years  and  less  than  twenty 
years,  two  and  one-half  per  centum.  Persons  who  have  performed 
such  duty  for  more  than  twenty  years,  three  per  centum.  Such 
payments  shall  cease  when  a  person  has  paid  for  twenty-five  years, 
"or  who  has  been  retired  pursuant  to  the  provisions  of  this  article. 
Every  person  to  whom  this  article  applies  who  shall  have  signified 
his  or  her  intention  to  take  advantage  of  this  article,  who  shall  con- 
tinue in  the  employ  of  the  New  York  state  hospital  system  for 
the  insane  after  this  article  takes  effect,  as  well  as  every  person  to 
whom  this  article  applies  who  may  hereafter  be  appointed  to  a 
position  or  place,  shall  be  deemed  to  consent  and  agree  to  the  deduc- 
tions made  and  provided  for  herein,  and  shall  receipt  in  full  for  the 
wages,  pay  or  compensation  which  shall  be  paid  monthly  or  at  any 
other  time,  and  such  payment  shall  be  a  full  and  complete  discharge 
and  acquittance  of  all  claims  or  demands  whatsoever  for  the  services 
rendered  by  such  person  during  the  period  covered  by  such  payment, 
notwithstanding  the  provisions  of  any  other  law,  rule  or  regulation 
affecting  the  wages,  pay  or  compensation  of  any  person  or  persons 
employed  in  the  New  York  state  civil  service  to  whom  this  article 
applies.  Every  officer  or  employee  entering  the  service  of  the  New 
York  state  hospital  system  on  and  after  the  first  day  of  the  calendar 
month  after  this  section  as  hereby  amended  takes  effect  and  who  is 
not  for  any  reason  exempted  from  the  benefits  of  this  article,  shall 


THE  INSANITY  LAW,  101 

contribute  and  continue  to  contribute  thereto  10  the  retiiemenffand 
at  the  rate  of  two  per  centum  per  month  of  his  or  her  wages  including 
maintenance,  except  maintenance  shall  not  be  considered  in  computing 
contributions  or  annuities  of  officers.  All  officers  and  employees 
participating  in  the  retirement  fund  at  the  time  this  section  as 
hereby  amended  takes  effect  or  employed  hereafter  or  reinstated 
shall,  subject  to  the -provisions  of  this  act,  continue  to  participate 
while  they  remain  in  the  state  hospital  system.  All  officers  and 
employees  in  the  state  hospital  system  prior  to  the  twenty-second 
day  of  March,  nineteen  hundred  and  twelve,  who  are  not  partici- 
pants in  the  retirement  fund  may  become  such  by  signifying  their 
desire  to  do  so  to  the  retirement  board  within  the  thirty  days  next 
following  the  time  this  section  as  hereby  amended  takes  effect  and 
shall  continue  to  be  participants  while  they  remain  in  the  state  hospi- 
tal system. 

§  116.  Repayments  where  retirement  is  without  fault  of  officer  or 
employee;  payments  in  case  of  death. — Any  person  who  has  not 
become  entitled  to  a  retirement  allowance,  who  loses  his  or  her 
employment  by  reason  of  reduction  of  force  or  any  change  due  to 
the  action  of  the  authorities  of  the  state  hospital  system  and  not 
owing  to  his  or  her  own  default  or  misconduct,  shall  be  entitled  to 
receive  on  retirement  the  aggregate  amount  of  his  or  her  contribution 
to  the  fund  or  funds  from  which  the  retirement  allowances  are  to 
be  paid,  and  shall  not  be  entitled  to  any  further  benefits  under  this 
article.  In  case  of  death  of  any  annuitant  occurring  between 
quarterly  payments,  the  estate  of  the  deceased  annuitant  shall  be  paid 
the  amount  due  the  annuitant  at  the  date  of  death.  Such  amount  shall 
be  accepted  as  a  complete  discharge  and  acquittance  of  all  claims  or 
demands  whatsoever  against  the  retiremenr  fund.  In  case  of  death  of 
an  officer  or  an  employee  who  has  made  at  least  two  payments,  his 
estate  shall  either  be  reimbursed  in  the  amount  contributed  by  him 
or  her,  or  in  such  sum  as  the  retirement  board  may  deem  proper. 

§  117.  Forfeiture  of  right  to  annuity  by  default  in  making  contribu- 
tions.—Any  officer  or  employee  who  has  been  granted  retirement  pur- 
suant to  the  provisions  of  this  article  and  who  does  not  make  all 
necessary  contributions  required  herein,  within  ninety  days  after  notice 
of  such  retirement,  shall  forfeit  his  or  her  rights  to  said  annuity,  and 
shall  not  be  entitled  to  retirement  except  upon  reapplication  to  the 
retirement  board. 

§  118.  Temporary  officers  and  employees.— The  retirement  board 
hereinafter  provided  shall  exclude  from  the  operation  of  this  act 
any  group  of  officers  or  employees  who  receive  their  compensation 


102  THE 'INSANITY  LAW 

onr  a  temporary  payrollvand  whose  tenure  of  office  is  intermittent  or  of 
uncertain  duration. 

§  119.  Retirement  board  created. — The  retirement  board  hereinbe- 
fore mentioned,  shall  be  composed  of  the  comptroller  of  the  state  of 
New  York,  the  medical  member  and  the  legal  member  of  the  New 
York  state  hospital  commission,  a  representative  of  the  officers  to 
be  chosen  at  a  regular  quarterly  conference  of  the  superintendents 
with  the  state  hospital  commission,  and  a  representative  of  the  em- 
ployees, to  be  chosen  by  a  majority  vote  of  the  employees  contribu- 
ting to  the  retirement  fund,  which  board  shall  have  general  jurisdiction 
over  and  authority  to  pass  upon  all  questions  that  may  arise  under  the 
provisions  of  this  article.  Members  of  the  retirement  board  as  pro- 
vided in  this  section,  except  the  comptroller,  medical  and  legal  mem- 
bers of  the  state  hospital  commission,  shall  be  chosen  or  elected,  as 
provided  in  this  section,  within  ninety  days  after  this  act  as  hereby 
amended  takes  effect  and  thereafter  biennially,  commencing  with 
November,  nineteen  hundred  and  twenty. 

§  120.  Medical  examiners. — The  retirement  board  may  appoint  one 
or  more  boards  of  medical  examiners  hereinbefore  mentioned,  each  of 
which  boards  shall  be  composed  of  not  less  than  three  physicians 
connected  with  the  New  York  state  hospital  system  to  conduct 
examinations. 

§  121.  Application  blanks.— All  applications  for  retirement  shall  be 
made  to  the  retirement  board  upon  blanks  to  be  provided  for  that 
purpose  and  shall  be  acted  upon  by  said  board  within  ninety  days 
from  the  receipt  thereof  in  order  of  such  receipt. 

§  122.  Expenses  of  administration. — All  of  the  expenses  involved  in 
the  administration  and  operation  of  the  fund,  not  performed  in  the 
respective  hospitals  involved,  shall  be  paid  from  the  retirement  fund 
on  the  audit  of  the  retirement  board,  including  salaries  for  any  posi- 
tions which  the  board  may  deem  necessary. 

Any  person  who  shall  not  have  notified  the  retirement  board  to  the 
contrary  in  writing  on  or  before  the  twenty-first  day  of  April,  nineteen 
hundred  and  twelve,  pursuant  to  the  former  provisions  of  this  section 
shall  continue  to  be  deemed  to  have  signified  his  or  her  intention  at 
that  time  to  take  advantage  of  the  provisions  of  thi§  article.  (Thus 
amended  by  chapter  499,  Laws  of  1918.) 


THE  INSANITY  LAW  103 

ARTICLE   VI 

Matteawan  State  Hospital 

Section  130.  Establishment    and    purposes    of   the    Matteawan   State 
Hospital. 

131.  Superintendent    of   state    prisons     to    make   rules   and 

regulations. 

132.  Medical  superintendent. 

133.  Medical  superintendent  as  treasurer  of  the  hospital. 

134.  Salaries  of  resident  officers. 

135.  Powers  and  duties  of  medical  superintendent  and  assist- 

ants. 

136.  Monthly  estimates. 

137.  Power  of  removal. 

138.  Transfer    of    insane    convicts  to   the   Matteawan    State 

Hospital. 

139.  Disposal  of  insane  convicts  after   expiration  of  term  of 

imprisonment. 

140.  Convicts  on  recovery,  to  be  transferred  to  prison. 

141.  Certificate    of    conviction  to    be    delivered    to    medical 

superintendent  and  copy  filed. 

142.  Transfers    from    state   hospitals   to    Matteawan    State 

Hospital. 

143.  Authority  to  recover  for  the  support  of  patients. 

144.  Tenure  of  office. 

145.  Communications  with  patients. 

(Article  and  sections  renumbered  by  chapter  59,  Laws  of  1912.) 

§  130.  Establishment  and  purpose  of  the  Matteawan  State  Hos- 
pital.— The  grounds,  buildings  and  property  located  at  Matteawan,  in 
the  county  of  Dutchess,  and  used  for  the  purpose  of  the  hospital  for 
insane  criminals,  shall  continue  to  be  known  as  the  Matteawan  State 
Hospital,  to  be  Used  for  the  purpose  of  holding  in  custody  and  caring 
for  such  insane  persons  held  und'er  any  other  than  a  civil  process  as  may 
be  committed  to  the  said  institution  by  courts  of  criminal  jurisdiction, 
or  transferred  thereto  by  the  state  hospital  commission,  and  for  such 
convicted  persons  as  may  be  declared  insane  while  undergoing  sen- 
tence of  one  year  or  less  or  for  a  misdemeanor  at  any  of  the  various 
penal  institutions  of  the  state,  and  for  all  female  convicts  becoming 


104  THE  INSANITY  LAW 

insane  while  undergoing  sentence.  When  a  person  is  committed  to 
the  Matteawan  State  Hospital  under  the  provisions  of  article  eight, 
chapter  five,  section  six  hundred  and  fifty-nine;  or  title  four,  chapter 
two,  section  eight  hundred  and  thirty-six  of  the  code  of  criminal  pro- 
cedure— a  copy  of  the  minutes  of  the  proceedings  instituted  to  deter- 
mine his  mental  condition  shall  be  furnished  to  said  hospital.  (Thus 
amended  by  chapter  121,  Laws  of  1912.) 

§  131.  Superintendent  of  state  prisons  to  make  rules  and  regula- 
tions.— The  superintendent  of  state  prisons,  subject  to  the  approval  of 
the  state  commission  in  lunacy,  shall  make  by-laws  and  regulations 
for  the  government  of  the  hospital  and  the  management  of  its  affairs. 

§  132.  Medical  superintendent. — The  superintendent  of  state  prisons 
shall,  whenever  there  is  a  vacancy,  appoint  a  medical  superintendent 
for  the  Matteawan  State  Hospital,  who  shall  be  a  well-educated  phy- 
sician of  at  least  five  years'  actual  experience  in  a  hospital  for  the  care 
and  treatment  of  the  insane. 

§  133.  Medical  superintendent  as  treasurer  of  the  hospital.— The  med- 
ical superintendent  shall  be  the  treasurer  of  the  hospital,  and  before 
entering  upon  his  duties,  shall  file  with  the  comptroller  of  the  state  his 
undertaking  to  the  people  with  sureties  to  be  approved  by  the  superin- 
tendent of  state  prisons,  to  the  effect  that  he  will  faithfully  perform 
his  trust  as  such  treasurer.  He  shall  have  the  custody  of  the  moneys, 
securities  and  obligations  belonging  to  the  hospital,  and  not  required  by 
law  to  be  or  remain  in  the  custody  of  the  comptroller  or  in  the  state 
treasury,  and  shall  open  with  some  bank,  in  the  vicinity  of  the  hospital, 
to  be  selected  with  the  approval  of  the  comptroller,  an  account  in  his 
name  as  such  medical  superintendent,  and  immediately  deposit  in  such 
bank  all  moneys  received  by  him  as  such  medical  superintendent  and 
treasurer,  and  shall  draw  therefrom  only  for  the  use  of  the  hospital  and 
in  the  manner  provided  by.  the  by-laws  and  upon  the  order  of  the  stew- 
ard, specifying  the  pbject  of  each  payment.  He  shall  keep  a  full  and 
accurate  account  of  the  receipts  and  payments,  as  directed  by  the  by- 
laws, and  of  such,  other  matters  as  the  superintendent  of  state  prisons 
and  the  state  hospital  commission  may  prescribe,  and  balance  all  his 
accounts,  annually,  on  the  thirtieth  day  of  June,  and  within  ten  days 
thereafter  deliver  to  the  superintendent  of  state  prisons,  a  statement 
thereof  and  an  abstract  of  such  receipts  and  payments  for  the  past  year. 
His  books  and  vouchers  shall  at  all  times  be  open  to  the  inspection  of 
the  superintendent  of  state  prisons  and  the  commission,  and  they  may 
at  any  time  require  of  him  a  statement  of  his  accounts  and  of  the  funds 
and  property  in  his  custody.  (Thus  amended  by  chapter  118,  Laws 
of  1916. 

§  134.  Salaries  of  resident  officers.— The  superintendent  of  state  pris- 


THE  INSANITY  LAW  105 

ons  shall,  from  time  to  time,  determine  the  annual  salaries  and  allow- 
ances of  the  resident  officers,  and  the  same  shall  be  paid  in  accordance 
with  chapter  three  hundred  and  seventeen  of  the  laws  of  nineteen  hun- 
dred and  ten,  twice  each  month  on  the  first  and  sixteenth  days  thereof 
by  the  treasurer  of  the  state,  on  the  warrant  of  the  comptroller,  out 
of  any  moneys  in  the  treasury  not  otherwise  appropriated,  to  the  med- 
ical superintendent,  on  his  presenting  a  bill  of  particulars  thereof 
signed  by  the  steward  and  properly  certified  by  such  medical  superin- 
tendent. (Thus  amended  by  chapter  121,  Laws  of  1912.) 

§  135.  Powers  and  duties  of  medical  superintendent  and  assistants. — 
The  medical  superintendent  shall  be  the  chief  executive  officer  of  the 
hospital  and  shall: 

1.  Have  the  general  superintendence  of  the  building  and  grounds, 
together  with  their  furniture,  fixtures  and  stock,  and  the  direction  and 
control  of  all  persons  therein,  subject  to  the  rules  and  regulations 
adopted  by  the  superintendent  of  state  prisons,  with  power  to  assign 
their  respective  duties. 

2.  Appoint  such  number  of  assistant  physicians,  as  the  necessities  of 
the  institution  may  require,  subject  to  the  approval  of  the  superintend- 
ent of  state  prisons,  also  a  steward  and  matron,  all  of  whom  and  the 
medical  superintendent,  shall  reside  in  the  hospital,  and  shall  be  known 
as  the  resident  officers  thereof. 

3.  Appoint  such  and  so   many  attendants  and  other  subordinate 
employees  as  he  may  think  proper  and  necessary  for  the  economical 
and  efficient  administration  of  the  affairs  of  the  hospital,  and  prescribe 
their  several  duties  and  places,  and  fix,  with  the  approval  of  the  super- 
intendent of  state  prisons,  their  compensation,  and  discharge  any  of 
them  at  his  sole  discretion;  but  in  every  case  of  discharge,  so  occurring, 
he  shall,  forthwith,  enter  the  same  with  the  reasons  therefor,  under  an 
appropriate  heading,  in  one  of  the  record  books  of  the  hospital. 

4.  Give,  from  time  to  time,  such  orders  and  instructions  as  he  may 
deem  best  calculated  to  insure  good  conduct,  fidelity  and  economy  in 
every  department  of  labor  and  expense. 

5.  Maintain  salutary  discipline  among  all  who  are  employed  by  the 
institution,  and  enforce  strict  compliance  with  all  instructions  and 
orders  given  by  him,  and  uniform  obedience  to  all  the  rules  and  regula- 
tions of  the  hospital. 

6.  Cause  full  and  fair  accounts  and  records  of  all  his  doings,  and  of 
the  entire  business  and  operations  of  the  institution  to  be  kept  regu- 
larly, from  day  to  day,  in  books  provided  for  that  purpose,  in  the 
manner  and  to  the  extent  prescribed  in  the  by-laws. 

7.  See  that  all  accounts  and  records  are  fully  made  up  to  the  last  day 
of  June  in  each  year,  and  present  the  principal  facts  and  results, 


106  THE  INSANITY  LAW 

with  his  report  thereon,  to  the  superintendent  of  state  prisons,  within 
forty  days  thereafter.  The  resident  officers,  before  entering  upon 
their  duties  as  such,  shall  severally  take  and  file  in  the  office  of  the 
secretary  of  state,  the  constitutional  oath  of  office.  The  first  assistant 
physician  shall  perform  the  duties  and  be  subject  to  the  responsibilities 
of  the  superintendent  in  his  sickness  or  absence.  The  steward  may 
personally  purchase  any  supplies  for  the  use  of  such  hospital,  but 
only  in  the  name  of  the  medical  superintendent,  and  in  each  instance 
by  his  direction  and  not  otherwise.  (Thus  amended  by  chapter  118, 
Laws  of  1916.) 

§  136.  Monthly  estimates. — The  medical  superintendent  shall  cause 
an  estimate  to  be  made  monthly,  in  accordance  with  forms  to  be  ap- 
proved by  the  state  comptroller,  of  all  moneys  necessary  for  the  sup- 
port and  maintenance  of  the  hospital,  which  may  be  required  to  supple- 
ment the  deficiencies  in  the  earnings  thereof.  Such  estimate  shall  be 
submitted  to  and  examined  by  the  superintendent  of  state  prisons, 
who,  if  he  is  satisfied  that  it  is  correct,  and  that  the  articles  named 
therein  are  actually  needed  for  the  support  and  maintenance  of  the 
hospital,  shall  certify  to  the  same,  and  on  production  of  such  estimate 
so  certified,  to  the  comptroller,  he  shall  draw  his  warrant  on  the  state 
treasurer  for  the  amount  thereof,  and  the  state  treasurer  shall  pay 
such  amount  to  the  medical  superintendent  of  the  hospital,  out  of  any 
money  in  the  treasury  appropriated  for  the  support  of  such  hospital. 

§  137.  Power  of  removal. — The  superintendent  of  state  prisons  may 
remove  the  medical  superintendent,  for  cause  shown,  after  having 
given  an  opportunity  to  such  superintendent  to  be  heard  thereon, 
and  such  officer  shall  not  be  reappointed  to  the  office  of  medical  super- 
intendent, or  to  any  other  position  in  said  hospital. 

§  138.  Transfer  of  insane  convicts  to  the  Matteawan  State  Hospital. — 
Whenever  the  physician  of  the  state  prison  for  women,  any  county 
penitentiary  or  workhouse,  any  reformatory  for  women,  or  of  a  state' 
reformatory  or  any  other  penal  institution  shall  report  in  writing  to 
the  warden  or  other  officer  in  charge  thereof,  that  any  person  under- 
going a  sentence  of  one  year  or  less  or  convicted  of  a  misdemeanor,  or 
.any  female  convict  confined  therein  is,  in  his  opinion,  insane,  such 
warden  or  other  officer  shall  apply  to  a  judge  of  a  court  of  record  to 
•cause  an  examination  to  be  made  of  such  person  by  two  legally  quali- 
fied examiners  in  lunacy,  other  than  a  physician  connected  with  such 
state  prison,  penitentiary,  reformatory  or  penal  institution.  Such 
examiners  shall  be  designated  by  the  judge  to  whom  the  application 
is  made.  Such  examiners,  if  satisfied,  after  a  personal  examination, 
that  such  convict  is  insane,  shall  make  a  certificate  to  such  effect  in 
the  form  and  manner  prescribed  by  this  chapter  for  the  commitment 


THE  INSANITY  LAW  107 

of  insane  persons  to  state  hospitals.  Such  warden  or  other  person 
in  charge  shall  apply  to  a  judge  of  a  court  of  record  for  an  order 
transferring  such  convict  to  the  Matteawan  State  Hospital,  accom- 
panying such  application  with  such  certificate  in  lunacy.  Such  judge 
if  satisfied  that  such  convict  is  insane,  shall  issue  such  order  of  trans- 
fer, and  such  warden  or  other  officer  in  charge  shall  thereupon  cause 
such  convict  to  be  transferred  to  the  Matteawan  State  Hospital  and 
delivered  to  the  medical  superintendent  thereof.  At  the  time  of  such 
transfer  the  certificate  in  lunacy  and  order  of  transfer  shall  be 
presented  to  such  medical  superintendent.  Such  insane  convict  shall 
be  received  into  such  hospital  and  retained  there  until  legally  dis- 
charged. Such  warden,  or  other  officer  in  charge,  before  transferring 
such  insane  convict,  shall  see  that  he  is  bodily  clean,  and  is  pro- 
vided with  a  new  suit  of  clothing  similar  to  that  furnished  to  convicts 
on  their  discharge  from  prison.  The  costs  necessarily  incurred  in 
determining  the  question  of  insanity,  including  the  fees  of  the  medical 
examiners,  shall  be  a  charge  upon  the  state  or  the  municipality  at 
whose  expense  the  institution  from  which  the  transfer  is  made  or 
sought  to  be  made  is  maintained. 

§139.  Disposal  of  insane  convicts  after  expiration  of  term  of  im- 
prisonment.— Whenever  any  convict  in  the  Matteawan  State  Hospital, 
under  and  by  virtue  of  this  chapter,  shall  continue  to  be  insane  at  the 
expiration  of  the  term  for  which  he  was  sentenced,  he  may  be  retained 
therein  until  he  has  recovered  or  is  otherwise  legally  discharged.  The 
medical  superintendent  of  such  hospital  may  discharge  and  deliver 
any  patient  whose  sentence  has  expired,  and  who  is  still  insane,  but 
who,  in  the  opinion  of  the  superintendent  is  reasonably  safe  to  be  at 
large,  to  his  relatives  or  friends  who  are  able  and  willing  to  comfort- 
ably maintain  him,  without  further  public  charge;  and  such  patient 
may,  in  the  discretion  of  the  medical  superintendent,  be  provided  with 
the  whole  or  a  portion  of  such  allowances  as  are  hereinafter  granted  to 
recovered  convicts.  Whenever  any  convict,  who,  by  reason  of  his 
insanity,  shall  have  been  retained  beyond  the  date  of  the  expiration  of 
his  sentence  shall  recover,  he  may  be  discharged  by  the  medical  super- 
intendent, and  such  convict  shall  be  entitled  to  ten  dollars  in  money, 
suitable  clothing  and  a  railroad  ticket  to  the  county  of  his  conviction  or 
to  such  other  place  as  he  may  designate  at  no  greater  distance.  Any 
convict  in  the  Matteawan  State  Hospital,  whose  term  of  imprisonment 
'has  expired  by  commutation  or  otherwise,  and  who  is  not  recovered 
may,  upon  an  order  of  the  state  hospital  commission,  be  transferred 
to  any  institution  for  the  insane.  (Thus  amended  by  chapter  121, 
Laws  of  1912.) 
'  §  140.  Convicts  on  recovery,  to  be  transferred  to  prison. — Whenever 


io8  THE  INSANITY  LAW 

any  convict,  who  shall  have  been  confined  in  such  hospital  as  an  insane 
person,  shall  have  recovered  before  the  expiration  of  his  sentence,  and 
the  medical  superintendent  thereof  shall  so  certify  in  writing  to  the 
agent  and  warden  or  other  officer  in  charge  of  the  institution,  from 
which  such  convict  was  received  or  to  which  the  superintendent  of 
state  prisons  may  direct  that  he  be  transferred,  such  convict  shall 
forthwith  be  transferred  to  the  institution  from  which  he  came  by  the 
medical  superintendent  of  the  hospital,  or  if  received  from  one  of  the 
state  prisons,  to  such  state  prison  as  the  superintendent  of  state  prisons 
may  direct;  and  the  agent  and  warden  or  other  officer  in  charge  of 
such  institution  shall  receive  such  convict  into  such  institution,  and 
shall,  in  all  respects,  treat  him  as  when  originally  sentenced  to  im- 
prisonment. Any  inmate  not  a  convict,  held  upon  an  order  of  a  court 
or  judge, in  a  criminal  proceeding,  maybe  discharged  therefrom,  upon 
the  superintendent's  certificate  of  recovery,  made  to  and  approved 
by  such  court  or  judge. 

§  141.  Certificate  of  conviction  to  be  delivered  to  medical  superin- 
tendent and  copy  filed. — Whenever  any  convict  shall  be  transferred  to 
the  Matteawan  State  Hospital,  the  agent  and  warden  or  other  officer 
in  charge  of  the  prison,  penitentiary,  reformatory  or  other  penal  insti- 
tution from  which  such  convict  is  transferred,  shall  cause  a  correct 
copy  of  the  original  certificate  of  conviction  of  such  convict  to  be  filed 
in  the  office  of  the  warden  or  officer  in  charge,  and  shall  deliver  the 
original  certificate  to  the  medical  superintendent  of  such  hospital ;  and 
whenever  any  such  convict  shall  be  transferred  to  any  penal  institution 
from  such  hospital,  as  hereinbefore  provided,  the  medical  superintend- 
ent shall  deliver  to  the  agent  and  warden,  or  other  officer  in  charge  of 
such  institution,  such  original  certificate,  which  shall  be  filed  in  the 
clerk's  office  of  the  same. 

§  142.  Transfers  from  state  hospitals  to  Matteawan  State  Hospital. — 
The  commission  may,  by  order  in  writing,  transfer  to  the  Matteawan 
State  Hospital  any  insane  inmate  of  a  state  hospital,  who  was  held 
under  any  other  than  a  civil  process,  committed  thereto  upon  the  order 
of  a  court  of  criminal  jurisdiction  or  of  a  judge  or  justice  of  such  a  court ; 
or  any  patient  who  has  previously  been  sentenced  to  a  term  of  imprison- 
ment in  any  penal  institution,  and  who  still  manifests  criminal  ten- 
dencies, or  any  such  patient  who  has  previously  been  an  inmate  of  the 
Matteawan  State  Hospital.  All  persons  committed  to  said  Matteawan 
State  Hospital  shall  be  a  charge  upon  the  state.  (Thus  amended  by 
chapter  121,  Laws  of  1912.) 

§  143.  Authority  to  recover  for  the  support  of  patients. — The  medical 
superintendent  of  the  hospital  is  hereby  authorized  to  recover  for  the 
support  of  any  patient  therein,  chargeable  under  the  law  to  either 


THE  INSANITY  LAW  109 

counties  or  penitentiaries,  in  an  action  to  be  brought,  in  the  name  of 
the  people  of  the  state  of  New  York,  against  the  county  or  peniten- 
tiary, for  the  maintenance  of  said  patient. 

§  144.  Tenure  of  office. — Nothing  in  this  article  shall  be  construed  to 
affect  the  tenure  of  office  of  any  of  the  officers  of  the  hospital  who  held 
such  office  on  July  first,  eighteen  hundred  and  ninety-six. 

§  145.  Communications  with  patients. — No  person  not  authorized  by 
law  or  by  Written  permission  from  the  superintendent  of  state  prisons 
shall  visit  the  Matteawan  State  Hospital,  or  communicate  with  any 
patient  therein  without  the  consent  of  the  medical  superintendent; 
nor  without  such  consent  shall  any  person  bring  into  or  convey  out  of 
the  Matteawan  State  Hospital  any  letter  or  writing  to  or  from  any 
patient;  nor  shall  any  letter  or  writing  be  delivered  to  a  patient,  or  if 
written  by  a  patient  be  sent  from  the  Matteawan  State  Hospital  until 
the  same  shall  have  been  examined  and  read  by  the  medical  superin- 
tendent or  some  other  officer  of  the  hospital  duly  authorized  by  the 
medical  superintendent.  But  communications  addressed  by  such 
patient  to  the  county  judge  or  district  attorney  of  the  county  from 
which  he  was  sentenced,  shall  be  forwarded,  after  examination  by  such 
medical  superintendent,  to  their  destination. 

ARTICLE   VII 

Dannemora  State  Hospital 

Section  150.  Establishment  and  purposes  of  the  Dannemora  hospital. 

151.  Superintendent  of  state  prisons  to  make  rules  and  regu- 

lations. 

152.  Medical  superintendent. 

153.  Medical  ^superintendent  as  treasurer  of  the  hospital. 

154.  Salaries  of  resident  officers. 

155.  Powers    and    duties    of     medical    superintendent    and 

assistants. 

156.  Monthly  estimates. 

157.  Power  of  removal. 

158.  Transfer  of  prisoners  in  state  prisons,  reformatories  and 

penitentiaries  to  Dannemora  hospital. 

159.  Retention  of  insane  convicts  after  the  expiration  of  their 

terms. 

160.  Discharge  of  insane  convicts  after  expiration  of  terms. 

161.  Convicts  on  recovery  to  be  transferred  to  prison. 

162.  Certificate  of  conviction  to  be  delivered  to  medical  super- 

intendent and  copy  filed. 

163.  Communications  with  patients. 

(Article  and  sections  renumbered  by  chapter  59,  Laws  of  1912.) 


no  THE  INSANITY  LAW 

§  150.  Establishment  and  purposes  of  the  Dannemora  State  Hos- 
pital.— The  grounds  and  property  located  at  Dannemora,  in  the 
county  of  Clinton,  and  the  buildings  erected  thereon,  shall  be  known 
as  the  Dannemora  State  Hospital.  Such  hospital  shall  be  used  for  the 
purpose  of  confining  and  caring  for  such  male  prisoners  as  are  de- 
clared insane  while  confined  in  a  state  prison,  reformatory,  or  peniten- 
tiary, who  have  been  sentenced  thereto  for  a  felony.  (Thus  amended 
by  chapter  121,  Laws  of  1912.) 

§  151.  Superintendent  of  state  prisons  to  make  rules  and  regula- 
tions.— The  superintendent  of  state  prisons  shall  make  by-laws  and 
rules  and  regulations  for  the  government  of  the  hospital  and  the 
management  of  its  affairs. 

§  152.  Medical  superintendent. — The  superintendent  of  state  prisons 
shall,  whenever  there  is  a  vacancy,  appoint  a  medical  superintendent 
for  the  Dannemora  State  Hospital,  who  shall  be  a  well  educated 
physician  and  a  graduate  of  an  incorporated  medical  college  of  at 
least  five  years  actual  experience  in  a  hospital  for  the  care  and  treat- 
ment of  the  insane.  (Thus  amended  by  chapter  121,  Laws  of  1912.) 

§  153.  Medical  superintendent  as  treasurer  of  the  hospital. — The 
medical  superintendent  shall  be  the  treasurer  of  the  hospital,  and  before 
entering  upon  his  duties,  shall  file  with  the  state  comptroller  his 
undertaking  to  the  people  with  sureties,  to  be  approved  by  the  super- 
intendent of  state  prisons,  to  the  effect  that  he  will  faithfully  perform 
his  trust  as  such  treasurer.  He  shall  have  the  custody  of  the  moneys, 
securities  and  obligations  belonging  to  the  hospital  and  not  required  by 
law  to  be  or  remain  in  the  custody  of  the  comptroller  or  in  the  state 
treasury,  and  shall  open  with  some  bank,  in  the  vicinity  of  the  hospital, 
.to  be  selected  with  the  approval  of  the  comptroller,  an  account  in  his 
name  as  such  medical  superintendent,  and  immediately  deposit  in  such 
bank  all  moneys  received  by  him  as  such  medical  superintendent  and 
treasurer,  and  shall  draw  therefrom  only  for  the  use  of  the  hospital  and 
in  the  manner  provided  by  the  by-laws  and  upon  the  order  of  the  stew- 
ard, specifying  the  object  of  each  payment.  He  shall  keep  a  full  and 
accurate  account  of  the  receipts  and  payments,  as  directed  by  the  by- 
laws, and  of  such  other  matters  as  the  superintendent  of  state  prisons 
may  prescribe,  and  balance  all  his  accounts,  annually,  on  the  thirtieth 
day  of  June,  and  within  ten  days  thereafter  deliver  to  the  superintend- 
ent of  state  prisons,  a  statement  thereof  and  an  abstract  of  such 
receipts  and  payments  for  the  past  year.  His  books  and  vouchers 
shall  at  all  times  be  open  to  the  inspection  of  the  superintendent  of 
state  prisons,  who  may  at  any  time  require  of  him  a  statement  of  his 
accounts  and  of  the  funds  and  property  in  his  custody.  (Thus  amended 
by  chapter  118,  Laws  of  1916.) 


THE  INSANITY  LAW  in 

§  154.  Salaries  of  resident  officers.— The  superintendent  of  state 
prisons  shall,  from  time  to  time,  determine  the  annual  salaries  and 
allowances  of  the  resident  officers,  and  the  same  shall  be  paid  by  the 
treasurer  of  the  state,  on  the  warrant  of  the  comptroller,  out  of  any 
moneys  in  the  treasury  appropriated  for  that  purpose,  to  the  medical 
superintendent,  on  his  presenting  a  bill  of  particulars  thereof  signed 
by  the  steward,  and  properly  certified  by  such  medical  superin- 
tendent. (Thus  amended  by  chapter  121,  Laws  of  1912.) 

§  155.  Powers  and  duties  of  medical  superintendent  and  assistants. — 
The  medical  superintendent  shall  be  the  chief  executive  officer  of  the 
hospital  and  shall : 

1.  Have  the  general  superintendence  of  the  building  and  grounds, 
together  with  their  furniture,  fixtures  and  stock,  and  the  direction  and 
control  of  all  persons  therein,  subject  to  the  rules  and  regulations 
adopted  by  the  superintendent  of  state  prisons,  with  power  to  assign 
their  respective  duties. 

2.  Appoint  such  number  of  assistant  physicians,  as  the  necessities  of 
the  institution  may  require,  and  a  steward,  all  of  whom  and  the  med- 
ical superintendent,  shall,  as  soon  as  accommodations  are  provided, 
reside  on  the  hospital  grounds,  and  shall  be  known  as  the  resident 
officers  of  the  hospital. 

3.  Appoint   such   and   so  many  attendants  and  other  subordinate 
employees  as  he  may  think  proper  and  necessary  for  the  economical  and 
efficient  administration  of  the  affairs  of  the  hospital,  and  prescribe 
their  several  duties  and  places,  and  fix,  with  the  approval  of  the  super- 
intendent of  state  prisons,  their  compensation,  and  discharge  any  of 
them  at  his  sole  discretion;  but  in  every  case  of  discharge,  so  occur- 
ring, he  shall,  forthwith,  enter  the  same  with  the  reasons  therefor,  under 
an  appropriate  heading,  in  one  of  the  record  books  of  the  hospital. 

4.  Give,  from  time  to  time,  such  orders  and  instructions  as  he  may 
deem  best  calculated  to  insure  good  conduct,  fidelity  and  economy  in 
every  department  of  labor  and  expense. 

5.  Maintain  salutary  discipline  among  all  who  are  employed  by  the 
institution,   and  enforce  strict   compliance   with  all  instructions  and 
orders  given  by  him,  and  uniform  obedience  to  all  rules  and  regula- 
tions of  the  hospital. 

6.  Cause  full  and  fair  accounts  and  records  of  all  his  doings,  and  of 
the  entire  business  and  operations  of  the  institution  to  be  kept  regu- 
larly, from  day  to  day,  in  books  provided  for  that  purpose,  in  the 
manner  and  to  the  extent  prescribed  in  the  by-laws. 

7.  See  that  all  accounts  and  records  are  fully  made  up  to  the  last 
day   of    June    in    each    year,   and    present   the  principal  facts  and 
results,  with  his  report  thereon,  to  the  superintendent  of  state  prisons, 


ii2  THE  INSANITY  LAW 

within  forty  days  thereafter.  The  resident  officers,  before  entering 
upon  their  duties  as  such,  shall  severally  take  and  file  in  the  office  of 
the  secretary  of  state,  the  constitutional  oath  of  office.  The  first 
assistant  physician  shall  perform  the  duties  and  be  subject  to  the 
responsibilities  of  the  superintendent  in  his  sickness  or  absence.  The 
steward  may  personally  purchase  any  supplies  for  the  use  of  such 
hospital,  but  only  in  the  name  of  the  medical  superintendent,  and  in 
each  instance  by  his  direction  and  not  otherwise.  (Thus  amended  by 
chapter  118,  Laws  of  1916.) 

§  156.  Monthly  estimates. — The  medical  superintendent  shall  cause 
an  estimate  to  be  made  monthly,  in  accordance  with  forms  to  be  ap- 
proved by  the  state  comptroller,  of  all  moneys  necessary  for  the  sup- 
port and  maintenance  of  the  hospital,  which  may  be  required  to 
supplement  the  deficiencies  in  the  earnings  thereof.  Such  estimate 
shall  be  submitted  to  and  examined  by  the  superintendent  of  state 
prisons,  who,  if  he  is  satisfied  that  it  is  correct,  and  .that  the  articles 
named  therein  are  actually  needed  for  the  support  and  maintenance 
of  the  hospital,  shall  certify  to  the  same,  and  on  production  of  such  esti- 
mate so  certified,  to  the  comptroller,  he  shall  draw  his  warrant  on  the 
state  treasurer  for  the  amount  thereof,  and  the  state  treasurer,  shall  pay 
such  amount  to  the  medical  superintendent  of  the  hospital  out  of  any 
money  in  the  treasury  appropriated  for  the  support  of  such  hospital. 

§  157.  Power  of  removal. — The  superintendent  of  state  prisons  may 
remove  the  medical  superintendent,  for  cause  shown,  after  an  oppor- 
tunity to  such  superintendent  to  be  heard  thereon,  and  such  officer 
shall  not  be  reappointed  to  the  office  of  medical  superintendent,  or  to 
any  other  position  in  said  hospital. 

§  158.  Transfer  of  prisoners  in  state  prisons,  reformatories  and  peni- 
tentiaries to  Dannemora  State  Hospital.— Whenever  the  physician  of 
any  one  of  the  state  prisons,  reformatories  or  penitentiaries  shall  certify 
to  the  warden  or  superintendent  thereof,  that  a  male  prisoner  confined 
therein  and  sentenced  thereto  for  a  felony,  is,  in  his  opinion,  insane,  such 
warden  or  superintendent  shall  cause  such  prisoner  to  be  transferred 
to  the  Dannemora  State  Hospital  and  delivered  to  the  medical 
superintendent  thereof.  Such  superintendent  shall  receive  the 
prisoner  into  such  hospital,  and  retain  him  there  until  legally  dis- 
charged. The  warden  or  superintendent,  before  transferring  such 
insane  prisoner,  shall  see  that  he  is  in  a  state  of  bodily  cleanliness, 
and  is  provided  with  a  new  suit  of  clothing  similar  to  that  furnished 
to  convicts  on  their  discharge  from  prison.  At  the  time  of  such 
transfer,  there  shall  be  transmitted  to  the  medical  superintendent  of 
such  hospital  the  original  certificate  of  conviction  and  the  certificate 
of  insanity  executed  by  the  physician,  which  shall  be  filed  in  the  office 


THE  INSANITY  LAW  113 

of  such  medical  superintendent  who  shall  file  a  notice  of  such  transfer 
in  the  office  of  the  superintendent  of  state  prisons.  (Thus  amended 
by  chapter  121,  Laws  of  1912.) 

§  159.  Retention  of  insane  convicts  after  the  expiration  of  their 
terms. — When  the  term  of  a  convict  confined  in  Dannemora  State 
Hospital  has  expired,  and,  in  the  opinion  of  the  medical  super- 
intendent, such  convict  continues  insane,  the  medical  superintendent 
shall  apply  to  a  judge  of  a  court  of  record  to  cause  an  examination 
to  be  made  of  such  person,  by  two  legally  qualified  examiners  in 
lunacy,  other  than  a  physician  connected  with  such  hospital,  quali- 
fied to  act  as  medical  examiners  in  lunacy.  Such  examiners  shall  be 
designated  by  the  judge  to  whom  the  application  is  made.  Such 
examiners,  if  satisfied,  after  a  personal  examination,  that  such  convict  is 
insane,  shall  make  a  certificate  to  such  effect  in  the  form  and  manner 
prescribed  by  article  three  of  this  chapter,  for  the  commitment  of  in- 
sane persons  to  state  hospitals.  Such  superintendent  shall  apply  to  a 
judge  of  a  court  of  record  for  an  order  authorizing  him  to  retain  such 
convict  at  the  Dannemora  State  Hospital,  accompanying  such  applica- 
tion with  such  certificate  in  lunacy.  Such  judge,  if  satisfied  that  such 
convict  continues  insane,  shall  issue  such  order  of  retention,  and  such 
superintendent  shall  thereupon  retain  the  convict  at  Dannemora  State 
hospital  until  discharged  as  provided  by  law.  The  certificate  in  lunacy 
and  order  of  retention  shall  be  kept  by  the  medical  superintendent  in 
his  office,  and  a  copy  thereof  shall  be  filed  in  the  office  of  the  state 
hospital  commission.  The  costs  necessarily  incurred  in  determining 
the  question  of  insanity,  including  the  fees  of  the  medical  examiners, 
shall  be  a  charge  upon  the  amount  appropriated  for  the  support  and 
maintenance  of  the  Dannemora  State  Hospital,  and  be  paid  in  the 
same  manner  as  are  other  expenses  of  such  hospital.  (Thus  amended 
by  chapter  121,  Laws  of  1912.) 

§  160.  Discharge  of  insane  convicts  after  expiration  of  terms. — The 
medical  superintendent  of  the  Dannemora  State  Hospital  may  dis- 
charge and  deliver  any  patient  whose  sentence  has  expired,  and  who  is 
still  insane,  but  who,  in  the  opinion  of  the  superintendent,  is  reasonably 
safe  to  be  at  large,  to  his  relatives  or  friends  who  are  able  and  willing  to 
comfortably  maintain  him,  without  further  public  charge;  and  such 
patient  may,  in  the  discretion  of  the  medical  superintendent,  be 
provided  with  the  whole  or  a  portion  of  such  allowances  as  are 
hereinafter  granted  to  recovered  convicts.  Whenever  any  convict, 
who,  by  reason  of  his  insanity,  shall  have  been  retained  beyond  the 
date  of  the  expiration  of  his  sentence,  shall  recover,  he  may  be  dis- 
charged by  the  medical  superintendent,  and  such  convict  shall  be 
entitled  to  ten  dollars  in  money,  suitable  clothing  and  a  railroad  ticket 


ii4  THE  INSANITY  LAW 

to  the  county  of  his  conviction  or  to  such  other  place  as  he  may  desig- 
nate at  no  greater  distance.  Any  convict  in  the  Dannemora  State 
Hospital,  whose  term  of  imprisonment  has  expired  by  commutation  or 
otherwise,  and  who  is  not  recovered  may,  upon  an  order  of  the 
state  hospital  commission,  be  transferred  to  any  institution  for  the 
insane.  (Thus  amended  by  chapter  121,  Laws  of  1912.) 

§  161.  Convicts  on  recovery  to  be  transferred  to  prison. — Whenever 
any  convict,  who  shall  have  been  confined  in  such  hospital  as  an  insane 
person,  shall  have  recovered  before  the  expiration  of  his  sentence,  and 
the  medical  superintendent  thereof  shall  so  certify  in  writing  to  the 
warden  or  superintendent  of  the  institution  from  which  such  convict 
was  received,  or  to  which  the  superintendent  of  state  prisons  may 
direct  that  he  be  transferred,  such  convict  shall  forthwith  be  trans- 
ferred to  the  institution  from  which  he  came,  by  the  medical  superin- 
tendent of  the  hospital,  or,  if  received  from  one  of  the  state  prisons, 
to  such  state  prison  as  the  superintendent  of  state  prisons  may  direct; 
and  the  warden  or  superintendent  of  such  institution  shall  receive  such 
convict  into  such  institution,  and  shall,  in  all  respects,  treat  him  as 
when  originally  sentenced  to  imprisonment. 

§  162.  Certificate  of  conviction  to  be  delivered  to  medical  superin- 
tendent and  copy  filed. — Whenever  a  convict  is  transferred  to  the 
Dannemora  State  Hospital,  the  warden  or  superintendent  in  charge 
of  the  prison,  penitentiary,  or  reformatory  from  which  such  convict  is 
transferred,  shall  cause  a  copy  of  the  original  certificate  of  conviction  of 
such  convict  to  be  filed  in  the  office  of  such  warden  or  superintendent, 
and  shall  deliver  the  original  certificate  to  the  medical  superintendent 
of  such  hospital;  and  whenever  any  such  convict  shall  be  transferred 
to  any  penal  institution  from  such  hospital,  as  hereinbefore  provided, 
the  medical  superintendent  shall  deliver  to  the  warden,  or  superin- 
tendent in  charge  of  such  institution,  such  original  certificate,  which 
shall  be  filed  in  the  clerk's  office  of  the  same.  (Thus  amended  by  chap- 
ter 121,  Laws  of  1912.) 

§  163.  Communications  with  patients.— No  person  not  authorized  by 
law  or  by  written  permission  from  the  superintendent  of  state  prisons 
shall  visit  the  Dannemora  State  Hospital,  or  communicate  with  any 
patient  therein,  without  the  consent  of  the  medical  superintendent;  nor 
without  such  consent  shall  any  person  bring  into  or  convey  out  of  the 
Dannemora  State  Hospital  any  letter  or  writing  to  or  from  any  patient; 
nor  shall  any  letter  or  writing  be  delivered  to  a  patient,  or  if  written 
by  a  patient,  be  sent  from  the  Dannemora  State  Hospital  until  the 
same  shall  have  been  examined  and  read  by  the  medical  superintendent 
or  some  other  officer  of  the  hospital  duly  authorized  by  the  medical 
superintendent.  But  communications  addressed  by  such  patient  to  the 


THE  INSANITY  LAW  115 

county  judge  or  district  attorney  of  the  county  from  which  he  was 
sentenced,  shall  be  forwarded,  after  examination  by  such  medical 
superintendent,  to  their  destination.  (Thus  amended  by  chapter  121, 
Laws  of  1912.) 

ARTICLE    VIII 

(As  amended  by  chapter  289,  Laws  of  1910,  and  renumbered 
by  chapter  59,  Laws  of  1912.) 

Psychiatric  Institute 

Section  170.  Psychiatric  Institute. 

171.  Maintenance  of  institute. 

172.  Director  of  institute;  residence  and  maintenance  of  staff. 

§  170.  Psychiatric  Institute. — The,  Psychiatric  Institute  heretofore 
established  by  the  commission  is  hereby  continued  and  shall  hereafter 
be  known  as  the  New  York  vState  Psychiatric  Institute.  The  objects 
of  such  institute  shall  be  that  of  conducting  studies  into  the  causes, 
nature  and  treatment  of  diseases  affecting  the  mind,  brain  and 
nervous  system,  to  discover  and  apply  more  efficient  measures  of 
prevention,  treatment  and  cure  of  such  disorders,  in  order  that 
their  numbers  shall  be  decreased;  conducting  regular  and  special 
courses  of  instruction  for  physicians  and  others,  in  order  to  improve 
methods  of  care  and  treatment  of  patients;  for  the  development  of 
methods  of  prevention  and  cure  through  an  out-patient  department 
hereinafter  provided  for.  Such,  institute  shall  be  under  the  general 
supervision  and  control  of  the  commission.  The  commission  shall 
cause  the  institute  to  be  removed  from  its  present  location  on  Ward's 
Island  to  the  building  or  buildings  hereinafter  provided  for.  (Thus 
amended  by  chapter  860,  Laws  of  1920.) 

§  171.  Maintenance  of  institute. — Such  institute  shall  be  maintained 
by  the  commission  as  part  of  the  state  hospital  system,  from  appro- 
priations obtained  for  such  purpose.  (Thus  amended  by  chapter  121, 
Laws  of  1912.) 

§  172.  Director  of  institute;  residence  and  maintenance  of  staff. — 
The  director  of  such  institute  shall  be  appointed  by  the  commission, 
after  a  special  civil  service  examination  therefor  and  shall  be  a 
qualified  expert  in  psychiatric  research.  He  shall  perform,  under 
the  direction  of  the  commission,  such  duties  as  may  be  required  by 
the  commission  in  carrying  out  the  purposes  of  this  act.  He  shall 
have  the  supervision  and  control  of  such  institute  attd  of  the  physicians 


it6  THE  INSANITY  LAW 

and  others  employed  therein,  and  their  appointment,  subject  to  the 
general  direction,  supervision  and  control  of  the  commission  as 
provided  in  this  article.  He  shall  receive  an  annual  salary  to  be  fixed 
by  the  commission,  within  the  amount  appropriated  therefor  by  the 
legislature.  The  state  institutions  shall  co-operate  with  the  institute  in 
such  manner  as  the  commission  may  from  time  to  time  request. 
Resident  physicians  of  the  staff  and  officers  and  employees  of  such 
institute  shall,  if  required  by  the  commission,  reside  in  such  institute, 
and  shall  be  furnished  with  rooms  and  maintenance  as  provided  by 
law  for  officers  and  employees  in  state  hospitals.  (Thus  amended  by 
chapter  860,  Laws  of  1920.) 

§  iy2-a.  Hospital  and  out-patient  department. — Upon  order  of  the 
commission,  the  institute  shall  be  removed  from  its  present  location 
on  Ward's  Island  to  the  building  or  buildings  provided  for  in  the  laws 
of  nineteen  hundred  and  twenty  and  thereafter  there  shall  be  con- 
ducted as  part  of  such  institute  a  hospital  and  out-patient  department 
for  the  reception,  study  and  treatment  of  suitable  patients.  Patients 
shall  be  admitted,  discharged,  paroled  and  transferred  in  accordance 
with  such  rules  and  regulations  as  the  commission  may  from  time  to 
time  establish.  The  maintenance  of  such  patients  while  under  treat- 
ment in  said  institute  and  the  cost  of  their  care  and  treatment  shall  be 
provided  for  in  the  appropriation  made  for  the  support  of  the  institute. 
Private  patients  may  be  admitted  upon  consent  of  the  medical 
director  at  rates  fixed  by  the  state  hospital  commission.  The  director 
of  the  institute  shall  have  general  powers  and  duties  in  relation  to  the 
administration  of  the  hospital  department  and  the  care  and  treatment 
of  the  patients  therein  similar  to  those  conferred  by  the  insanity  law 
upon  superintendents  of  state  hospitals.  (Added  by  chapter  860, 
Laws  of  1920.) 

Commitment  of  Inebriates 

(Sections  173,  174,  175  and  176  were  added  by  chapter  526,  Laws  of 

1913-) 

§  173.  The  judge  of  a  court  of  record  in  the  county  or  district  where 
an  alleged  inebriate  resides,  or  a  judge  of  any  court  of  record,  may 
commit  such  person  to  any  private  licensed  institution  for  the  insane 
in  the  manner  hereinafter  provided,  upon  a  proper  application  and 
upon  the  consent  in  writing  of  the  trustees,  signed  by  their  superin- 
tendent or  executive  officer,  upon  the  certificates  in  writing  made,  ex- 
ecuted and  verified  by  at  least  two  physicians,  qualified  to  act  as  med- 
ical examiners  in  lunacy,  showing  that  such  person  is  over  the  age  of 
eighteen  years,  and  is  incapable  or  unfit  to  properly  conduct  himself 
or  herself,  or  his  or'her  affairs,  or  is  dangerous  to  himself  or  herself  or 


THE  INSANITY  LAW  117 

others  by  reason  of  periodical,  frequent  or  constant  drunkenness,  in- 
duced either  by  the  use  of  alcoholic  or  other  liquors,  or  of  opium, 
morphine,  or  other  narcotic  or  intoxicating  or  stupefying  substance. 
Such  certificate  must  further  show  that  such  person  is  in  actual  need 
of  special  care  and  treatment,  and  that  his  condition  is  such  that  his 
detention,  care  and  treatment  in  such  institution  would  be  likely  to 
effect  a  cure.  Such  certificate  shall  also  specifically  state  the  facts 
and  circumstances  upon  which  the  judgment  of  each  physician  is 
based  and  shall  show  the  result  of  such  examination.  It  must  appear 
upon  the  face  of  such  certificate  that  each  physician  executing  the 
same  has  made  a  personal  examination  of  the  person  alleged  to  be  an 
inebriate,  and  that  such  an  examination  has  been  made  within  ten 
days  prior  to  the  application  for  the  commitment. 

§  174.  The  husband  or  wife,  father  or  mother,  brother  or  sister,  or 
the  child  or  committee  of  an  alleged  inebriate  may  apply  for  an  order 
commiting  such  person  to  the  said  licensed  private  institution  for  the 
insane,  by  presenting  a  brief  petition  containing  a  statement  of  the 
facts  because  of  which  the  application  for  the  order  is  made.  Such 
petition  shall  be  accompanied  by  the  certificate  of  the  physicians  and 
the  consent  of  the  trustees  as  prescribed  in  the  preceding  section. 
Notice  of  the  time  and  place  of  making  such  application  shall  be 
served  personally  upon  the  alleged  inebriate  at  least  three  days  before 
the  date  therein  specified  upon  which  the  application  will  be  made. 
A  copy  of  the  petition  shall  be  served  with  such  notice.  The  judge  or 
justice  before  whom  such  application  is  made  shall,  in  his  discretion, 
direct  the  service  personally  or  by  mail  of  a  like  notice  upon  the  hus- 
band or  wife,  father  or  mother,  or  next  of  kin,  of  such  alleged  in- 
ebriate. At  the  time  and  place  mentioned  in  such  notice  or  at  such 
other  time  or  place  as  the  judge  or  justice  may  designate,  said  judge 
or  justice  shall  proceed  to  hear  the  testimony  introduced  for  and 
against  such  application,  and  may  examine  the  alleged  inebriate  if 
deemed  advisable.  Such  judge  or  justice  may,  in  his  discretion,  re- 
quire proofs  in  addition  to  the  petition  and  certificates  of  the  physi- 
cians. If,  from  the  facts  ascertained  upon  the  hearing,  the  proofs 
produced,  and  the  petition  and  certificates  presented,  the  judge  or 
justice  shall  determine  that  such  person  is  an  inebriate,  or  that  he  is  so 
addicted  to  the  use  of  opium,  morphine  or  other  narcotic  or  intoxicat- 
ing or  stupefying  substance,  and  his  condition  is  such  that  his  deten- 
tion in  such  institution  would  promote  his  interests  and  improve  his 
health,  he  shall  grant  an  order  commiting  such  person  to  such  institu- 
tion, to  be  detained  therein  for  a  period  not  exceeding  twelve  months, 
or  for  such  period  less  than  twelve  months  as  may  be  necessary  in  the 
judgment  of  the  physician  in  charge  of  such  institution  for  the  proper 


n8  THE  INSANITY  LAW 

treatment  and  cure  of  such  person,  or  until  discharged  therefrom  prior 
to  the  expiration  of  such  period,  as  hereinafter  provided.  The  physi- 
cian in  charge  may  grant  a  parole  to  a  patient  not  exceeding  six 
months. 

§  175.  A  person  committed  pursuant  to  this  act  or  any  relative  or 
friend  in  his  or  her  behalf,  may  within  thirty  days  after  any  order  of 
commitment  is  granted  as  provided  in  the  preceding  section,  apply  to 
a  justice  of  the  supreme  court  other  than  the  justice  making  the  com- 
mitment for  a  review  of  such  order.  Such  justice  shall  thereupon 
cause  a  jury  to  be  summoned  as  in  the  case  of  the  proceedings  for 
the  appointment  of  the  committee  for  an  insane  person,  and  shall 
try  the  question  of  the  inebriety  of  such  person  in  the  manner  pro- 
vided by  law  for  the  proceedings  for  the  appointment  of  such  com- 
mittee. If  the  verdict  of  the  jury  be  that  such  person  is  an  inebriate, 
such  justice  of  the  supreme  court  to  whom  such  application  was  made 
shall  certify  that  fact  and  commit  such  person  to  the  care  and  custody 
of  the  said  institution.  Proceedings  under  the  commitment  shall  not 
be  stayed  pending  an  appeal  therefrom,  except  upon  an  order  of  a 
justice  of  the  supreme  court  made  upon  notice  and  after  a  hearing, 
containing  a  provision  for  such  temporary  care  or  confinement  of  the 
alleged  inebriate  as  may  be  deemed  necessary.  Upon  the  refusal  of  a 
judge  to  grant  an  application  for  the  commitment  of  an  alleged  in- 
ebriate he  shall  state  his  reasons  for  such  refusal  in  writing,  and  the 
person  making  the  application  may  apply  to  a  justice  of  the  supreme 
court  in  the  manner  specified  in  this  section  where  an  application  is 
made  in  behalf  of  the  alleged  inebriate,  and  a  commitment  may  be  had 
after  an  appeal  by  a  jury  as  provided  herein. 

§  176.  A  person  who  has  been  committed  to  such  institution  is  en- 
titled to  a  writ  of  habeas  corpus  upon  a  proper  application  made  by 
him  or  her  or  by  any  relative  or  friend  in  his  or  her  behalf;  upon  the 
return  of  such  writ,  the  fact  of  the  inebriety  of  such  person  and  the 
reasons  for  his  or  her  further  detention  in  such  institution  shall  be  in- 
quired into.  The  superintendent  or  executive,  or  the  medical  officer  in 
charge  of  such  institution,  or  any  proper  person,  may  be  sworn  and 
examined,  as  to  the  mental  and  physical  condition  of  such  person.  If 
it  appears  upon  such  hearing  that  such  person  may  properly  be  dis- 
charged, the  judge  or  justice  before  whom  the  hearing  is  had  shall  so 
direct;  but  if  it  shall  appear  that  the  condition  of  such  person  is  such 
as  to  render  further  treatment  desirable,  such  person  shall  be  re- 
manded to  the  care  and  custody  of  such  institution. 


THE  INSANITY  LAW  119 

ARTICLE  IX 

Laws  repealed;   when  to  take  effect 

Section  190.  Laws  repealed. 

191.  When  to  take  effect. 

§  190.  Laws  repealed.  —  Of  the  laws  enumerated  in  the  schedule  hereto  . 
annexed,  that  portion  specified  in  the  last  column  is  hereby  repealed. 

§  191.  When  to  take  effect.  —  This  chapter  shall  take  effect  imme- 
diately. 

SCHEDULE  OF  LAWS  REPEALED 

Revised  Statutes,  pt.  i,  ch.  20,  tit.  3  ..............  All. 

Laws  of—  Chapter  Sections 

1788  ..........  ,  ..........      31  ..................  ...  6,  7  (nth  Sess.) 

1827  .....................     294  ..................  .  ..  All 

1828  .............  '  ........       20  .....................  15,    111    35,   36  (2d 

Meet.) 

1828  .....................      21  .....................  i,  H  525  (2d  Meet.) 

...................       82  .....................  All 

...................     218  .....................  All 

...     310  ................  All 

...................     303  .....................  All 

.................     278  .....................  All 

...................     135-  .......  ............  All 

.........  '.  .........     224  .....................  All 

...................     337  .....................  All 

...................     357  .....................  All 

...................       98  .....................  4,5 

...................     324  .........  ••  ...........  T~3 

...................     282  .....................  All 

...................     446...  ..................  All 

,  ..................     650  .....................  All 

..................     130  ........  .  ............  All 

...................     457  .....................  All 

,  ..................     450..  ...................  All 

...................     139  .....................  All 

...................     196  ..............  .......  All 

...................     418  .....................  All 

................  ...     266  .....................  All 

...................     342  .....................  All 

...................     353  .....................  All 

...................     734  .....................  A 

.....    .............       93  .....................  All 

...................     113  ......  ...............  All 

...................     343  ...........  ..........  All 

...................     564  .....................  All 

..................     595  .....................  All 

...................     228  .....................  All 


^S.  ................  ....  3 

295  .........  ............  All 

337  ..........  ...........  2-7 

378  .....................  All 


THE  INSANITY  LAW 


1870  

441  

All 

1870  

474  

All 

1870  

633  

All 

1871  ;  

237  

,  All 

1871  

7*3  

All 

1872  

733  

2,  part 
L.  1865, 

amending 
Ch.  342,  §  3 

1873  

587  

All 

1874  

4J4  

All 

1874  

446  

All,  ex< 

lept  tit.  i 

§§  21,  22 

,  26 

1875  

,  264  

All 

1875  '.  

574  

All 

1875  

634  

i,  IF  90 

l876...  

121  

All 

l876  

267  

3-5 

l878  

47  

All 

1878  

,  86  

All 

I879  

45  

All 

1879  

280  

All 

1880  , 

61  

i 

1880  

••••  164  

All 

1881  , 

49  

All 

1881  

19°  

All 

1883  

193  

All 

1884  

289  

All 

1884  

5*5  

All 

1885  , 

178  

All  » 

1885  , 

462  

All 

1886  

,  27  

All 

1886  

215  

All 

1886  , 

318  

All 

1886  

545  

All 

1887  , 

343  

All 

1887  , 

375  

All 

1887  

629  

All 

1888..  

451  

All 

1889  

56  

All 

1889  

283  

All 

1889  

427  

All 

1890  

126  

All 

1890  

132  

...  All 

1890  

•••  243  

All 

1890  

273  

All 

1890  

461  

All 

1891  

335  

All 

1892  

276  

All 

1893  

81  

All 

1893  

214  

All 

1893  

247  

All 

1893  

323  

All 

1893...-.  

565  

.  All 

1893  

All 

1894  

707  

All 

1895  

172  

All 

THE  INSANITY  LAW  121 

1895 628 All 

1895 855 All 

1896 2 All 

1896 481 All 

1896 545 All 

1897 460 All 

1898 636 , : . .    All 

1899 260... All 

1899 481 All 

1899 520 All 

1900 380 All 

1900 634 All 

1900 .' 676 All 

1901 137... » All 

1901 546 All 

1901 644 i,  part  providing 

for  the  establish- 
ment and  mainte- 
nance of  a  patho- 
logical hospital 

1902 26 ^ All 

1902 130 All 

1902 391 All  ^ 

1902 593 i,    part   providing 

for  the  establish- 
ment and  mainte- 
nance of  a  patho- 
logical hospital 

1902 509 All 

1903 146. All 

1903 221 All 

1903 598 i,    part  providing 

for  the  establish- 
ment and  mainte- 
nance of  a  patho- 
logical hospital 

i9°4 326 All 

1904 330 All 

1904 428 All 

i9°4 525 - All 

1904 7H All 

1905 490 All 

i9°5 497 All 

1906 107 All 

1906 284 All 

1906 296 All 

i9°7 325 All 

1907 462 All 

1908 213 All 

1908  261 All 

1908 487 All 


122  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

SUBSIDIARY    AND    UNREPEALED    STATUTES 

RELATING   TO   THE 

INSANE    AND    INSTITUTIONS    FOR    THEIR 
CARE    AND    TREATMENT 


CHAPTER    535,    LAWS    OF    1895 

AN  ACT  to  protect  the  lives  of  the  inmates  of  public  buildings  of  state 
institutions  and  to  protect  said  buildings  against  destruction  by  fire. 
§  i.  It  shall  be  the  duty  of  each  superintendent  or  chief  executive 
officer  of  each  of  the  public  institutions  of  the  state,  supported 
wholly  or  partly  by  the  funds  of  the  state,  to  provide  that  the  follow- 
ing regulations  for  the  protection  of  the  inmates  of  said  buildings  and 
the  buildings  be  complied  with :  There  shall  be  provided  a  sufficient 
number  of  standpipes,  with  connections  or  outlets  on  each  floor,  to 
which  a  length  of  fire  hose  shall  be  attached,  to  properly  protect  the 
entire  floor  surface.  All  fire  hose  must  be  tested  at  least  once  in  three 
months  under  the  direction  of  the  engineer,  and  employees  must  be 
trained  in  its  use.  Not  less  than  six  portable  fire  extinguishers  for 
each  floor  of  each  building,  hand  grenades  and  fire  pails  kept  con- 
stantly filled  with  water  and  used  for  no  other  purpose  shall  be  pro- 
vided. Bathtubs  shall  be  kept  filled  with  water  during  the  night  and 
pails  ready  for  use  placed  near  them.  Suitable  steps  must  be  provided 
under  windows  used  as  exits  to  fire-escapes  and  all  fire-escapes  must 
be  properly  inclosed  with  wire  netting.  Wards  of  the  state,  if  physic- 
ally and  mentally  able,  must  be  required  to  occasionally  go  up  and 
down  the  outside  iron  stairways  which  must  be  provided  in  order  to  be- 
come accustomed  to  their  use.  If  gas  is  used,  the  pressure  shall  be  regu- 
lated by  governor  that  the  flow  may  be  as  nearly  uniform  as  possible. 
All  swinging  gas  jets  in  closets,  clothes-rooms,  employees'  room  and  in 
rooms  occupied  by  wards  of  the  state  must  be  protected  by  wire 
screens.  Gas  stoves  must  be  used  only  when  absolutely  necessary, 
and  if  used  must  be  suitably  inclosed  with  metal.  Kerosene  oil  must 
not  be  used  for  lighting  purposes  unless  the  institution  is  not  fully 
provided  with  gas  or  electric  lights ;  and  if  such  oil  is  used  it  must  be 
of  the  highest  fire  test  commercially  obtainable.  Candles  must  only 
be  used  in  an  emergency,  and  on  the  express  authorization  of  the 
superintendent  or  chief  executive  officer.  None  but  safety  matches,  or 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  123 

those  which  can  be  used  only  on  specially  prepared  surface,  must  be 
allowed  in  or  about  the  institution,  and,  so  far  as  possible,  matches 
must  be  dispensed  with  and  electric  torches  be  supplied.  All  lanterns 
must  be  kept  outside  the  buildings  used  for  sleeping  purposes,  in 
charge  of  one  person,  who  must  regularly  clean,  replenish  and  dis- 
tribute them.  Painters'  supplies  and  inflammable  liquids  of  all  kinds 
must  not  be  stored  in  buildings  occupied  by  wards  of  the  state  or 
employees.  When  oil  .or  other  inflammable  substance  is  applied  to 
floors  it  must  be  applied  only  by  persons  skilled  in  its  application,  and 
all  articles  used  in  applying  such  inflammable  material  must  be  care- 
fully destroyed  after  use.  All  attics  and  basements  must  be  constantly 
kept  free  from  rubbish  or  articles  not  necessary  to  the  proper  conduct 
of  the  institution,  and  must  be  regularly  swept,  cleaned  and  all 
broken  or  needless  articles  promptly  removed. 

§  2.  The  moneys  necessary  to  carry  out  the  provisions  of  this  act 
shall  be  supplied  from  the  moneys  annually  appropriated  for  the 
maintenance  of  the  above  described  institutions. 


CHAPTER  824,  LAWS  OF   1895 

AN  ACT  to  amend  title  six  of  chapter  seventeen  of  the  code  of  civil 
procedure,  in  relation  to  the  appointment  of  a  committee  of  the 
person  and  property  of  a  lunatic,  idiot  or  habitual  drunkard. 

§  i.  The  several  sections  of  title  six  of  chapter  seventeen  of  the  code 
'of  civil  procedure  hereinafter  designated,  are  severally  amended  and 
new  sections  are  enacted,  which  amended  and  new  sections  shall  read 
as  follows: 

§  2323.  Application  for  committee,  by  whom  made. — An  application 
for  the  appointment  of  such  a  committee  must  be  made  by  petition, 
which  may  be  presented  by  any  person.  Except  as  provided  in  the 
next  section,  where  the  application  is  made  to  the  supreme  court,  the 
petition  must  be  presented  at  a  special  term  held  within  the  judicial 
district,  or  to  a  justice  of  said  court  within  such  judicial  district  at 
chambers,  where  the  person  alleged  to  be  incompetent  resides;  or  if 
he  is  not  a  resident  of  the  state,  or  the  place  of  his  residence  can  not 
be  ascertained,  where  some  of  his  property  is  situated,  or  the  state 
institution  is  situated  of  which  he  is' an  inmate. 

§  2323  (a}.  Application  when  incompetent  person  is  in  a  state  insti- 
tution; petition,  by  whom  made;  contents  and  proceedings  upon 
presentation  thereof. — Where  an  incompetent  person  has  been  com- 
mitted to  a  state  institution  in  any  manner  provided  by  law,  and  is  an 


124  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS- 

inmate  thereof,  the  petition  may  be  presented  on  behalf  of  the  state 
by  a  state  officer  having  special  jurisdiction  over  the  institution  where 
the  incompetent  person  is  confined  or  the  superintendent  or  acting 
superintendent  of  said  institution;  the  petition  must  be  in  writing  and 
verified  by  the  affidavit  of  the  petitioner  or  his  attorney,  to  the  effect 
that  the  matters  therein  stated  are  true  to  the  best  of  his  information 
or  belief;  it  must  show  that  the  person  for  whose  person  or  property, 
or  both,  a  committee  is  asked  has  been  legally  committed  to  a  state 
institution  Over  which  the  petitioner  has  special  jurisdiction,  or  of 
which  he  is  superintendent  or  acting  superintendent,  and  is  at  the  time 
an  inmate  thereof;  it  must  also  state  the  institution  in  which  he  is  an 
inmate,  the  date  of  his  admission,  his  last  known  place  of  residence, 
ttie  name  and  residence  of  the  husband  or  wife,  if  any,  of  such 
person,  and  if  there  be  none,  the  name  and  residence  of  the  next  of 
kin  of  such  person  living  in  this  state  so  far  as  known  to  the  peti- 
tioner; the  nature,  extent  and  income  of  his  property,  so  far  as  the 
same  is  known  to  the  petitioner,  or  can  with  reasonable  diligence 
be  ascertained  by  him.  The  petition  may  be  presented  to  the  supreme 
court  at  any  special  term  thereof,  held  either  in  the  judicial  district  in 
which  such  incompetent  person  last  resided,  or  in  the  district  in 
which  the  state  institution  in  which  he  is  committed  is  situated,  or  to 
a  justice  of  the  supreme  court  at  chambers  within  such  judicial 
district,  or  to  the  county  court  of  the  county  in  which  the  incompetent 
person  resided  at  the  time  of  such  commitment,  or  of  the  county  in 
which  said  institution  is  situated.  Notice  of  the  presentation  of  such 
petition  shall  be  personally  given  to  such  person,  and  also  to  the  hus- 
band or  wife,  if  any,  or  if  none  to  the  next  of  kin  named  in  the  petition, 
and  to  the  officer  in  charge  of  the  institution  in  which  such  person  is 
an  inmate.  Upon  the  presentation  of  such  petition,  and  proof  of  £he 
service  of  such  notice,  the  court  or  justice  may,  if  satisfied  of  the 
truth  of  the  facts  required  to  be  stated  in  such  petition,  immediately 
appoint  a  committee  of  the  person  or  property,  or  both,  of  such 
incompetent  person  or  may  require  any  further  proof  which  it  or  he 
may  deem  necessary  before  making  such  appointment.  (Thus 
amended  by  chapter  509,  Laws  of  1904.) 


CHAPTER    399,    LAWS    OF    1898 

AN    ACT  to  amend  the  code  of  criminal  procedure,  relative  to  pro- 
ceedings respecting  the  support  of  poor  persons. 
§  i.  Sections  nine  hundred  and  fourteen,  nine  hundred  and  fifteen, 
nine  hundred  and  sixteen,  nine  hundred  and  seventeen,  nine  hundred 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  125 

md  eighteen  and  nine  hundred  and  twenty  of  the  code  of  criminal 
procedure,  are  hereby  amended  to  read  as  follows: 

§  914.  Who  may  be  compelled  to  support  poor  relatives. — The  father, 
mother  and  children,  if  of  sufficient  ability,  of  a  poor  person  who  is 
insane,  blind,  old,  lame,  impotent  or  decrepit,  so  as  to  be  unable  by 
work  to  maintain  himself,  must,  at  their  own  charge,  relieve  and  main- 
bain  him  in  a  manner  to  be  approved  by  the  overseers  of  the  poor  of 
the  town  wheife  he  is,  or  in  the  city  of  New  York,  by  the  commis- 
sioners of  public  charities.  If  such  poor  person  be  insane,  he  shall  be 
maintained  in  the  manner  prescribed  by  the  insanity  law.  The  father, 
mother,  husband,  wife  or  children  of  a  poor  insane  person  legally  com- 
mitted to  and  confined  in  an  institution  supported  in  whole  or  in  part 
by  the  state,  shall  be  liable,  if  of  sufficient  ability,  for  the  support  and 
maintenance  of  such  insane  person  from  the  time  of  his  reception  in 
such  institution. 

§  915.  Order  to  compel  a  person  to  support  a  poor  relative,  et  cetera. 
— If  a  relative  of  a  poor  person  fail  to  relieve  and  maintain  him,  as  pro- 
vided in  the  last  section,  the  overseers  of  the  poor  of  the  town  where 
lie  is,  or  in  the  city  of  New  York,  the  commissioners  of  public  charities, 
may  apply  to  any  court  of  record  or  to  a  judge  thereof  where  the  relative 
dwells,  for  an  order  to  compel  such  relief,  upon  at  least  ten  days 
written  notice,  served  personally,  or  by  leaving  it  at  the  last  place  of 
residence  of  the  person  to  whom  it  is  directed,  in  case  of  his  absence, 
with  a  person  of  suitable  age  and  discretion.  If  such  poor  person  be 
insane  and  legally  committed  to  and  confined  in  an  institution  sup- 
ported in  whole  or  in  part  by  the  state,  and  his  relatives  refuse  or 
neglect  to  pay  for  his  support  and  maintenance  therein,  application 
may  be  made  by  the  treasurer  of  such  institution  in  the  manner  pro- 
vided in  this  section  for  an  order  directing  the  relatives  liable  therefor 
to  make  such  payment. 

§  916.  Court  to  hear  the  case  and  make  order  of  support. — At  the 
time  appointed  in  the  notice,  the  court  or  a  judge  thereof  must  pro- 
ceed summarily  to  hear  the  allegations  and  proofs  of  the  parties,  and 
must  order  such  of  the  relatives  of  the  poor  person  mentioned  in  sec- 
tion nine  hundred  and  fourteen,  as  were  served  with  the  notice  and  are 
of  sufficient  ability,  to  relieve  and  maintain  him,  specifying  in  the 
order  the  sum  to  be  paid  weekly  for  his  support,  and  requiring  it 
to  be  paid  by  the  father,  or  if  there  be  none,  or  if  he  be  not 
of  sufficient  ability,  then  by  the  children,  or  if  there  be  none,  or  if 
they  be  not  of  sufficient  ability,  then  by  the  mother.  If  the  application 
be  made,  to  secure  an  order  compelling  relatives  to  pay  for  the  mainte- 
nance of  insane  poor  persons  committed  to  and  confined  in  an  institu- 
tion, supported  in  whole  or  in  part  by  the  state,  such  order  shall  specify 

9 


126  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

the  sum  to  be  paid  for  his  maintenance  by  his  relatives  liable  therefor, 
from  the  time  of  his  reception  in  such  institution  to  the  time  of  making 
such  order,  and  also  the  sum  to  be  paid  weekly  for  his  future  mainte- 
nance in  such  institution.  The  relatives  served  with  such  notice  shall 
be  deemed  to  be  of  sufficient  ability,  unless  the  contrary  shall  affirma- 
tively appear  to  the  satisfaction  of  the  court  or  a  judge  thereof. 

§  917.  Support;  when  to  be  apportioned  among  different  relatives. — 
If  it  appear  that  any  such  relative  is  unable  to  wholly  maintain  the 
poor  person  or  to  pay  for  his  maintenance  if  confined  in  a  state  insti- 
tution for  the  insane,  but  is  able  to  contribute  toward  his  support,  the 
court  or  a  judge  thereof  may  direct  two  or  more  relatives,  of  different 
degrees,  to  maintain  him  or  to  pay  for  his  maintenance  in  such  an  insti- 
tution if  insane,  prescribing  the  proportion  which  each  must  con- 
tribute for  that  purpose;  and  if  it  appear  that  the  relatives  are  not  of 
sufficient  ability  wholly  to  maintain  him,  or  to  pay  for  his  maintenance 
in  such  an  institution,  if  insane,  but  are  able  to  contribute  something, 
the  court  or  a  judge  thereof  must  direct  the  sum,  in  proportion  to 
their  ability,  which  they  shall  pay  weekly  for  that  purpose.  If  it 
appears  that  the  relatives  who  are  liable  for  the  maintenance  of  an 
insane  poor  person  confined  in  a  state  institution  for  the  insane  are 
not  able  to  pay  the  whole  amount  due  for  such  maintenance  from  the 
time  of  such  poor  person's  admission  to  such  institution,  the  court  or 
a  judge  thereof  must  direct  the  sum  to  be  paid  for  such  maintenance 
in  proportion  to  the  ability  of  the  relatives  liable  therefor. 

§  918.  Order  to  prescribe  time  during  which  support  is  to  continue, 
or  may  be  indefinite;  when  and  how  order  may  be  varied. — The  order 
may  specify  the  time  during  which  the  relatives  must  maintain  the 
poor  person,  or  during  which  any  of  the  sums  directed  by  the  court  or 
a  judge  thereof  are  to  be  paid,  or  it  may  be  indefinite  or  until  the 
further  order  of  the  court  or  a  judge  thereof.  If  the  order  be  for  pay- 
ment of  a  weekly  sum  for  the  maintenance  of  an  insane  poor  person  in 
a  state  institution,  the  order  shall  specify  that  such  sum  shall  be  paid 
as  long  as  such  insane  poor  person  is  maintained  in  such  institution. 
The  court  or  judge  thereof  may  from  time  to  time  vary  the  order,  as 
the  circumstances  may  require,  on  the  application  either  of  any  relative 
affected  by  it,  or  of  an  officer  on  whose  application  the  order  was 
made,  upon  ten  days  written  notice. 

§  920.  Action  on  the  order  on  failure  to  comply  therewith. — If  a  rela- 
tive, required  by  an  order  of  the  court  or  a  judge  thereof,  to  relieve  or 
maintain  a  poor  person,  neglect  to  do  so  in  the  manner  approved  by 
the  officers  mentioned  in  section  nine  hundred  and  fourteen,  and 
neglect  to  pay  to  them  weekly  the  sum  prescribed  by  the  court  or  a 
judge  thereof,  the  officers  may  maintain  an  action  against  the  relative, 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  127 

and  recover  therein  the  sum  prescribed  by  the  court  or  a  judge  thereof 
for  every  week  the  order  has  been  disobeyed,  to  the  time  of  recovery, 
with  costs,  for  the  use  of  the  poor.  If  the  order  directs  a  relative  to 
pay  for  the  maintenance  of  an  insane  poor  person  in  a  state  institution, 
and  such  relative  refuses  or  neglects  to  pay  the  amount  specified 
therein,  an  action  may  be  brought  by  the  treasurer  of  such  institution 
in  its  corporate  name  to  recover  the  amount  due  to  such  institution  by 
virtue  of  such  order. 
§  2.  This  act  shall  take  effect  immediately. 


CHAPTER  241,  LAWS  OF   1915 

AN  ACT  to  amend  the  code  of  civil  procedure,  in  relation  to  bonds 
of  committees  or  special  guardians  in  proceedings  for  the  dis- 
position of  the  real  property  of  infants,  lunatics,  idiots  or  habitual 
drunkards. 

Section  i.  Section  twenty-three  hundred  and  fifty-one  of  the  code  of 
civil  procedure  is  hereby  amended  to  read  as  follows: 

§  2351.  Bond  of  committee  of  lunatic,  etc. — An  application  to  sell, 
mortgage,  release,  or  lease  real  property,  or  an  interest  in  real  prop- 
erty, of  a  lunatic,  idiot  or  habitual  drunkard,  cannot  be  granted, 
unless  a  committee  of  his  property  has  been  appointed.  Upon  such 
an  application,  if  it  is  made  by  the  committee,  the  court  must  make  an 
order,  directing  him  to  file  with  the  clerk,  a  bond,  with  either  indi- 
vidual or  corporate  surety,  approved  by  the  court  as  to  form,  amount 
and  sufficiency  of  surety,  conditioned  for  the  faithful  discharge  of  his 
trust;  for  the  paying  over  and  investing  of,  and  accounting  for,  all 
moneys  received  by  him  in  the  special  proceeding,  according  to  the 
direction  of  any  court  having  authority  to  give  directions  in  the  prem- 
ises; and  for  the  observance  of  the  directions  of  the  court,  in  relation 
to  the  trust.  If  the  application  is  made  by  any  other  person,  an  order 
must  be  made  thereupon,  requiring  the  committee  to  show  cause  why 
he  should  not  file  such  a  bond.  If,  after  hearing  the  committee,  the 
court  is  of  the  opinon,  that  there  is  a  probable  cause  for  granting  the 
application,  it  may  make  an  order,  requiring  the  committee  to  file 
such  a  bond;  or,  if  the  committee  so  elects,  or  fails  to  file  the  bond  as 
directed  in  the  order,  it  may  appoint  a  suitable  person  to  be  the  special 
guardian  of  the  incompetent  person,  with  respect  to  the  proceedings, 
who  must  thereupon  file  such  a  bond.  Where  an  application  is  made 
to  release  an  inchoate  right  of  dower,  application  must  be  made  by  the 
husband  of  the  lunatic,  idiot  or  habitual  drunkard  and  may  be  made 


128  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

before  or  after  a  committee  has  been  appointed,  except  that  applica- 
tion may  be  made  by  the  committee  'of  the  property  of  the  lunatic, 
idiot,  or  habitual  drunkard  in  any  case  where,  at  the  time  of  the  appli- 
cation, the  property  to  which  the  inchoate  right  of  dower  attaches  has 
already  been  sold  by  the  husband  and  the  wife  has  not  joined  in  the 
conveyance  or  otherwise  released  her  inchoate  right  of  dower.  When 
the  application  is  made  by  the  husband,  the  court  may  appoint  him 
special  guardian,  and  he  must  file  a  bond  as  herein  provided. 

§  2.  This  act  shall  take  effect  September  first,  nineteen  hundred  and 
fifteen. 


CHAPTER  637,  LAWS  OF  1915 

AN  ACT  to  amend  the  code  of  civil  procedure,  in  relation  to  security 
to  be  given  by  the  committee  of  an  incompetent  person. 

Section  i.  Section  twenty- three  hundred  and  thirty-seven  of  the 
code  of  civil  procedure  is  hereby  amended  to  read  as  follows: 

§  2337.  Security  to  be  given  by  committee. — The  provisions  of  sec- 
tions twenty-five  hundred  and  seventy-six,  twenty-six  hundred  and 
fifty  and  twenty-six  hundred  and  fifty-two  of  this  act,  respecting  the 
security  to  be  given  by  the  guardian  of  the  person  or  of  the  property 
of  an  infant,  appointed  by  a  surrogate's  court,  except  that  part  thereof 
authorizing  the  appointment  of  an  associate  with  the  guardian  and  the 
security  to  be  given  in  such  a  case,  apply  to  a  committee  of  the  person 
or  of  the  property,  appointed  as  prescribed  in  this  article.  A  com- 
mittee of  the  property  cannot  enter  upon  the  execution  of  his  duties, 
until  security  is  given,  as  prescribed  by  the  court.  A  committee  of 
the  person  cannot  enter  upon  the  execution  of  his  duties,  until  security 
is  given,  if  required  by  the  court. 

§  2.  This  act  shall  take  effect  immediately. 


CHAPTER  440,  LAWS  OF  1916 

AN  ACT  to  amend  the  code  of  civil  procedure,  in  relation  to  appoint- 
ment of  guardians  at  litem  and  special  guardians  by  supreme 
court. 

Section  i.  The  code  of  civil  procedure  is  hereby  amended  by  insert- 
ing therein,  after  section  four  hundred  and  seventy-seven,  a  new 
section,  to  be  section  four  hundred  and  seventy-seven-a,  to  read  as 
follows; 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  129 

§  477-a.  Appointment  of  guardians  ad  litem  and  special  guardians 
by  supreme  court  without  application. — The  supreme  court  may 
appoint  a  guardian  ad  litem  or  special  guardian  for  an  infant  or  an  in- 
competent person,  at  any  stage  in  any  action  or  proceeding,  when  it 
appears  to  the  court  necessary  for  the  proper  protection  of  the  rights 
and  interest  of  such  infant  or  incompetent  person  and  fix  the  fees  and 
compensation  of  such  guardians,  except  when  it  is  otherwise  expressly 
provided  by  law. 

§  2.  This  act  shall  take  effect  September  first,  nineteen  hundred  and 
sixteen. 


CHAPTER    32,    LAWS    OF    1899 

AN  ACT  requiring  preference  to  be  given  in  the  purchase  of  supplies 
for  state  institutions  to  products  raised  within  this  state. 

§  i.  The  officers,  boards,  commissioners  and  departments  whose  duty 
it  is  to  purchase  supplies  for  the  maintenance  of  inmates  of  state  insti- 
tutions, shall,  in  purchasing  such  supplies,  give  preference  to  products 
raised  within  the  state,  price  and  quality  being  equal. 

§  2.  This  act  shall  take  effect  immediately. 


CHAPTER    434,    LAWS    OF    19O5 

AN  ACT  to  amend  the  code  of  civil  procedure,  relative  to  the  par- 
tition and  sale  of  real  property  of  incompetents. 

Section  i.  Section  fifteen  hundred  and  ninety  of  the  code  of  civil 
procedure,  as  amended  by  chapter  nine  hundred  and  forty-six  of  the 
laws  of  eighteen  hundred  and  ninety-five  is  hereby  amended  to  read 
as  follows: 

§  1590.  Where  an  infant,  idiot,  lunatic,  or  habitual  drunkard,  holds 
real  property,  in  joint  tenancy  or  in  common,  the  general  guardian  of 
the  infant,  or  the  committee  of  the  idiot,  lunatic,  or  habitual  drunkard, 
may  apply  to  the  supreme  court  or  to  the  county  court  of  the  county, 
wherein  the  real  property  is  situated,  for  authority  to  agree  to  a  par- 
tition of  the  real  property.  Where  such  application  affects  the  inter- 
ests of  an  incompetent  person  who  has  been  committed  to  a  state  insti- 
tution, and  is  an  inmate  thereof,  notice  of  such  application  must  be 
given  to  the  superintendent,  acting  superintendent,  or  state  officer 
having  special  jurisdiction  over  the  institution  where  the  incompetent 
person  is  confined. 

§  2.  Section  twenty-three  hundred  and  forty-nine  of  the  code  of 
civil  procedure  is  hereby  amended  to  read  as  follows : 


130  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

§  2349.  An  application,  in  either  of  the  cases  prescribed,  in  the  last 
section,  must  be  made  by  the  petition  of  the  general  guardian,  or  the 
guardian  of  the  property  of  the  infant;  or  by  the  committee  of  the 
property  of  the  lunatic  or  other  incompetent  person;  or  by  any  rela- 
tive, or  other  person,  in  behalf  of  either.  Where  the  application  is  in 
behalf  of  an  infant  of  the  age  of  fourteen  years  or  upwards,  the 
infant  must  join  therein.  Where  the  application  is  made  to  the 
supreme  court,  the  petition  must  be  presented  at  a  term  held  within 
the  judicial  district,  in  which  the  property,  or  a  part  thereof,  is  situ- 
ated. Where  such  application  affects  the  interest  of  an  incompetent 
person  who  has  been  committed  to  a  state  institution  and  is  an  inmate 
thereof,  notice  of  such  application  must  be  given  to  the  superintendent, 
acting  superintendent,  or  state  officer  having  special  jurisdiction  over 
the  institution  where  the  incompetent  person  is  confined. 

§  3.  This  act  shall  take  effect  September  first,  nineteen  hundred  and 
five. 


CHAPTER    63O,   LAWS    OF    1915 

AN  ACT  to  amend  the  code  of  civil  procedure  in  relation  to  the  in- 
ventory and  account  of  the  committee  of  an  incompetent  person. 

Section  i.  Section  twenty-three  hundred  and  forty-one  of  the  code 
of  civil  procedure  is  hereby  amended  to  read  as  follows: 

§  2341.  Committee  of  property  ;  to  file  inventory  and  account. — The 
provisions  of  sections  twenty-six  hundred  and  sixty  and  twenty-six 
hundred  and  sixty-one  of  this  act,  requiring  the  general  guardian  of 
an  infant's  property,  appointed  by  a  surrogate's  court,  to  file  in  the 
month  of  January  in  each  year  an  inventory,  account  and  affidavit, 
and  prescribing  the  form  of  the  papers  so  to  be  filed,  apply  to  a  com- 
mittee of  the  property  appointed,  as  prescribed  in  this  title.  For  the 
purpose  of  making  that  application  the  committee  is  deemed  a  general 
guardian  of  the  property;  the  person  with  respect  to  whom  he  is 
appointed  is  deemed  a  ward  and  the  papers  must  be  filed  in  the  office 
of  the  clerk  of  the  court  by  which  the  committee  was  appointed,  or 
if  he  was  appointed  by  the  supreme  court,  in  the  clerk's  office  where 
the  order  appointing  him  is  entered,  and,  if  the  incompetent  person 
for  whom  such  committee  is  appointed  has  been  committed  to  a  state 
institution,  and  is  an  inmate  thereof,  a  duplicate  of  such  inventory, 
account,  and  affidavit,  shall  be  filed  also  by  said  committee  with  the 
superintendent  or  officer  having  special  jurisdiction  over  the  institu- 
tion where  the  incompetent  person  is  confined.  In  every  case  where 
a  committee  has  used  or  employed  the  services  of  an  incompetent 
person,  with  respect  to  whom  he  has  been  appointed  a  committee,  or 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  131 

where  moneys  have  been  earned  by  or  received  on  behalf  of  such  in- 
competent person,  the  committee  must  account  for  any  moneys  so 
earned  or  derived  from  such  services,  the  same  as  for  other  property 
or  assets  of  the  incompetent  person. 

§  2.  This  act  shall  take  effect  immediately. 


CHAPTER     535,    LAWS    OF    1916 

AN  ACT  to  amend  the  code  of  civil  procedure,  in  relation  to  judicial 
accounts  by  committees  of  incompetent  persons. 

Section  i.  Section  twenty-three  hundred  and  forty-two  of  the  code 
of  civil«procedure  is  hereby  amended  to  read  as  follows  : 

§  2342.  Idem;  may  be  compelled  to  file  the  same,  or  render  an  ad- 
ditional account,  et  cetera.  In  the  month  of  February  of  each  year, 
the  presiding  judge  of  the  court  by  which  the  committee  of  the  prop- 
erty was  appointed,  or  if  he  was  appointed  by  the  supreme  court,  the 
county  judge  of  the  county  where  the  order  appointing  him  is  entered, 
must  examine,  or  caused  to  be  examined,  under  his  direction,  all  ac- 
counts and  inventories  filed  by  committees  of  the  person  and  property, 
since  the  first  day  of  February  of  the  preceding  year.  If  it  appears, 
upon  the  examination,  that  a  committee,  appointed  as  prescribed  in 
this  title,  has  omitted  to  file  his  annual  inventory  or  accounting,  or  the 
affidavit  relating  thereto,  as  prescribed  in  the  last  section,  or  if  the 
judge  is  of  the  opinion  that  the  interests  of  the  person,  with  respect 
to  whom  the  committee  was  appointed,  requires  that  he  should  render 
a  more  full  or  satisfactory  inventory  or  account,  the  judge  must  make 
an  order  requiring  the  committee  to  supply  the  deficiency,  and  also, 
in  his  discretion,  personally  to  pay  the  expense  of  serving  the  order 
upon  him.  An  order  so  made  may  be  entered  and  enforced,  and  the 
failue  to  obey  it  may  be  punished,  as  if  it  were  made  by  the. court. 
Where  the  committee  fails  to  comply  with  the  order,  within  three 
months  after  it  is  made,  or,  where  the  judge  has  reason  to  believe  that 
sufficient  cause  exists  for  the  removal  of  the  committee,  the  judge  may, 
in  his  discretion,  appoint  a  fit  person  special  guardian  of  the  incompe- 
tent .person,  with  respect  to  whom  the  committee  was  appointed,  for 
the  purpose  of  filing  a  petition  in  his  behalf  for  the  removal  of  the 
committee  and  prosecuting  the  necessary  proceedings  for  that  purpose. 
The  committee  may  be  compelled  in  the  discretion  of  the  court  to  pay 
personally  the  costs  of  the  proceedings  so  instituted.  Where  the  ex- 
amination of  the  accounts  and  inventories  of  committees  of  incompe- 
tent persons  provided  for  herein  is  made  pursuant  to  the  order  or 
direction  of  a  county  judge,  the  expense  of  such  examination  as  allowed 


132  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

by  the  county  judge  directing  the  examination  shall  be  payable  by  the 
county  treasurer  of  the  county  out  of  any  court  funds  in  his  hands 
upon  the  order  of  the  county  judge  directing  such  examination.  The 
committee  of  the  property  of  an  incompetent  person  appointed  as  pre- 
scribed in  this  title,  may  apply  to  the  court  making  the  appointment, 
for  an  order  to  permit  him  to  render  to  such  court  an  intermediate 
judicial  account  of  all  his  proceedings  affecting  the  property  of  the  in-« 
competent  person  to  the  date  of  the  filing  thereof.  And  the  court 
upon  examination  may,  in  its  discretion,  make  an  order  directing  that 
such  account  be  filed  with  the  clerk  of  the  court  where  the  application 
is  made,  on  or  before  ike  date  determined  by  the  order. 

The  account  to  be  filed  pursuant  to  such  order  shall  be  verified  and 
contain  a  just,  true  and  proper  statement  of  all  the  acts  of  £he  com- 
mittee, and  an  itemized  statement  of  the  receipts  and  disbursements 
of  any  and  all  moneys  and  properties  that  have  come  into  hand  cover- 
ing the  whole  of  the  period  for  which  the  accounting  is  asked.  A 
summary  statement  shall  be  included  in  the  account  and  all  vouchers 
shall  be  filed  therewith.  Notice  of  the  filing  of  such  account  pursuant 
to  such  order  and  of  an  application  for  the  judicial  settlement  thereof 
shall  be  given  in  the  manner  in  which  and  to  the  persons  to  whom 
notice  of  application  for  the  appointment  of  a  committee  of  the  per- 
son or  property  of  an  alleged  incompetent  person,  lunatic,  idiot  or 
habitual  drunkard  is  required  to  be  given  by  title  six  of  chapter  seven- 
teen of  the  code  of  civil  procedure.  Upon  the  return  day  of  the  notice 
of  such  application  the  court  shall  have  the  power  to  appoint  a  referee 
to  take  and  state  such  account  and  to  report  to  the  court  with  his 
opinion  thereon  as  to  all  matters  embraced  in  said  account.  The 
court  shall  have  power  and  it  shall  be  its  duty  to  appoint  a  suitable 
person  as  special  guardian  of  the  incompetent  person  for  the  protec- 
tion of  his  rights  and  interests  in  said  proceeding. 

Upon  the  motion  for  a  confirmation  of  the  report  of  a  referee  ap- 
pointed pursuant  to  the  provisions  hereof  or  if  the  accounting  be  had 
before  the  court,  upon  the  court's  determination,  said  account  shall  be 
then  judicially  adjusted,  determined,  fixed  and  filed. 

The  compensation  of  the  referee  and  of  the  special  guardian  ap- 
pointed under  the  provisions  of  this  chapter  shall  in  every  instance  be 
fixed  by  the  court  to  be  paid  out  of  the  estate,  if  any,  of  the  incompe- 
tent person.  The  judicial  settlement  of  the  final  account  of  a  com- 
mittee shall  be  made  in  the  same  manner,  so  far  as  may  be  applicable,  as 
provided  in  this  section  for  the  judicial  settlement  of  an  intermediate 
account. 

§  2.  This  act  shall  take  effect  September  first,  nineteen  hundred  and 
sixteen. 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  133 

CHAPTER  652,  LAWS  OF   1915 

AN  ACT   to  amend  the  code  of  civil  procedure,  in  relation  to  the 
compensation,  of  committee. 

Section  i.  Section  twenty-three  hundred  and  thirty-eight  of  the 
code  of  civil  procedure  is  hereby  amended  to  read  as  follows: 

§  2338.  Compensation  of  committee. — A  committee  of  the  property 
is  entitled  to  the  same  compensation  as  an  executor,  administrator 
or  testamentary  trustee.  But  in  a  special  case,  where  his  services 
exceed  those  of  an  executor  or  administrator,  the  supreme  court  or  a 
county  court  within  the  county  may  allow  him  such  an  additional  com- 
pensation for  such  additional  services,  as  it  deems  just.  The  compen- 
sation of  a  committee  of  the  person  must  be  fixed  by  the  court,  and 
paid  by  the  committee  of  the  property,  if  any,  out  of  the  funds  in  his 
hands.  The  additional  compensation  authorized  by  this  section  may 
be  allowed  to  the  committee  upon  any  judicial  settlement  made  by 
him,  and  shall  be  for  such  additional  services  up  to  ancl  including 
such  settlement. 

§  2.  This  act  shall  take  effect  September  first,  ninteen  hundred  and 
fifteen. 


CHAPTER  238,  LA.WS  OF  1917 

AN  ACT  creating  the  hospital  development  commission,  defining  its 
powers  and  duties,  authorizing  contracts  for  new  buildings  in  con- 
nection with  the   Utica  state  hospital  and   the  Middletown  state 
hospital,  and  making  appropriations  for  such  purpose  and  for  the 
expense  of  the  hospital  development  commission. 
Section  i.     Hospital  development  commission  created. — A  commis- 
sion is  hereby  created  consisting  of  the  state  engineer,  the  chairman 
of  the  state  hospital  commission,  the  state  architect,  the  chairman  of 
the  senate  finance  committee,  the  chairman  of  the  assembly  ways  and 
means  committee,  two  members  to  be  appointed  by  the  governor  and 
one  member  of  the  legislature  who  shall  also  be  a  minority  member  of 
one  of  the  financial  committees  of  the  legislature  to  be  named  by  the 
minority  leaders  of  the  senate  and  assembly.     The  appointment  of  the 
last  named  member  of  the  commission  shall  be  evidenced  by  certifi- 
cate duly  executed  by  said  minority  leaders  of  the  legislature  and  filed 
in  the  office  of  the  secretary  of  state. 

§  2.  Powers  and  duties  of  hospital  development  commission. — Such 
commission  shall 


134  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

1.  Examine  each  site  of  hospital  development  in  the  state,  together 
with  such  other  sites  as  the  state  now  owns  or  which  in  the  future 
may  be  developed  for  hospital  purposes; 

2.  Make  a  complete  investigation  of  the  capacity  of  the  present  state 
hospital  buildings; 

3.  Consider  future  policy  of  the  state  for  the  care  of  the  insane,  and 
whether  advisable  to  make  it  part  custodial  and  part  hospital; 

4.  Adopt  a  general  plan  of  hospital  development  taking  into  consid- 
eration proximity  to  centers  of  population,  transportation  of  suppliesr 
patients  and  their  relatives  and  friends,  healthfulness,  water  supply 
and  drainage  facilities; 

5.  Devise  and  adopt  a  plan  to  provide  for  the  proper  accommodation 
of  the  present  surplus  of  patients,  both  in  the  civil  hospitals  a*id  in 
the  hospitals  for  the  criminal  insane  the  normal  increase  and  a  moder- 
ate surplusage  of  accommodations  at  its  completion  at  the  end  of  ten 
years ; 

6.  Estimate  the  probable  cost  of  such  plan  in  detail ; 

7.  Consider  each  hospital  site  as  entity  and  submit  a  comprehensive 
plan  for  its  development  to  a  predetermined  capacity,  showing  loca- 
tion, size  and  character  of  each  building  proposed; 

8.  Recommend  to  the  legislature  of  each  year  on  the  date  on  which 
it  convenes,  an  expenditure  equal  to  one-tenth  of  the  cost  of  the  entire 
hospital  plan  when  completed  stating  in  detail  which  buildings  coming 
within  such  appropriation  in  cost  are  most  immediately  necessary  for 
relieving  congestion  for  the  'proper  care  of  patients   and   attendants 
and  for  the  symmetrical  and  efficient  development  of  the  entire  plan. 

9.  Investigate  the  problem  of  the  proper  care  of  the  feeble-minded 
in  the  state  with  the  purpose  of  devising  a  plan  for  its  solution  and 
when  this  problem  is  under  consideration  tjie  fiscal  supervisor  of  state 
charities   shall   take   the  place  of  the  chairman  of  the  state  hospital 
commission  on  the  commission  hereby  created  and  the  secretary  of 
the  state  board  of  charities  shall  take  the  place  of  the  state  engineer. 

§  3.  Expenses  of  commission;  assistants. — The  members  of  the  hos- 
pital development  commission  shall  not  be  entitled  to  any  compensa- 
tion for  their  services,  but  shall  be  allowed  their  necessary  traveling 
and  hotel  expenses  incurred  in  the  performance  of  their  duties.  Such 
commission  may  employ  such  assistants  as  may  be  needed,  and  may 
authorize  the  employment  by  the  state  engineer  and  state  architect  of 
such  additional  employees  as  may  be  needed  in  such  offices  for  the 
purposes  of  this  act. 

§  4.  Contracts  for  new  buildings  at  Marcy  site. — The  state  hospital 
commission  is  hereby  authorized  to  enter  into  a  contract  or  contracts, 
in  the  manner  provided  by  section  sixty-five  of  the  insanity  law,  for 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  135 

the  construction  and  equipment  of  new  buildings  on  the  Marcy  site  in 
connection  with  the  Utica  state  hospital,  including  necessary  heating, 
water  supply  and  sewage  disposal  systems,  at  a  cost  of  not  exceeding 
one  million  two  hundred  and  fifty  thousand  dollars  ($1,250,000).  The 
hospital  development  commission  shall  determine  the  character  of 
development  and  buildings  first  to  be  constructed  on  such  site 
pursuant  to  this  act.  The  sum  of  two  hundred  and  ninety-nine 
thousand  two  hundred  and  fifty-four  dollars  and  eighty-five  cents 
($299,254.85),  being  the  unexpended  balance  of  the  sum  of  three  hun- 
dred thousand  dollars  ($300,000) ,  appropriated  by  chapter  seven  hun- 
dred and  thirteen  of  the  laws  of  nineteen  hundred  and  fifteen  for  the 
construction  and  equipment  of  the  Mohansic  state  hospital,  is  hereby_ 
reappropriated  and  made  available  for  commencing  the  work  of  con 
struction  at  Marcy.  The  new  building  constructed  by  the  hospital 
development  commission  on  the  Marcy  site  shall  be  known  as  Utica 
state  hospital — Marcy  division. 

§  5.  Contracts  for  new  building  at'  Middletown. — The  state  hospital 
commission  is  hereby  authoriz  ed  to  enter  into  a  contract  or  contracts, 
in  the  manner  provided  by  section  sixty-five  of  the  insanity  law,  for 
the  construction  and  equipment  of  a  new  building  at  the  Middletown 
state  homeopathic  hospital,  including  necessary  heating,  water  supply 
and  sewage  disposal  system,  at  a  cost  not  exceeding  three  hundred 
and  sixty-nine  thousand  dollars  ($369,000) ;  but  no  such  contract  shall 
be  entered  into  by  the  hospital  commission  until  the  character  of  the 
building  to  be  constructed  shall  have  been  determined  by  the  hospital 
development  commission  created  by  this  act.  The  sum  of  one  hun- 
dred thousand  dollars  ($100,000)  is  hereby  appropriated  for  the 
purposes  of  this  section. 

§  6.  Appropriation  for  expenses  of  the  hospital  development  com- 
mission.—The  sum  of  twenty  thousand  dollars  ($20,000),  or  so  much 
thereof  as  may  be  needed,  is  hereby  appropriated  out  of  any  money  in 
the  treasury,  not  otherwise  appropriated,  for  the  expenses  of  the  hos- 
pital development  commission  as  authorized  by  this  act,  including  the 
necessary  hire  of  an  automobile  or  automobiles,  the  payment  of 
experts  and  other  assistants,  and  such  additional  employees  as  may  be 
needed  in  the  offices  of  the  state  engineer  and  state  architect,  but  no 
such  additional  employees  shall  be  so  employed  without  the  approval 
of  the  hospital  development  commission.  The  money  hereby  appro- 
priated for  the  expenses  of  the  commission  shall  be  payable  by  the 
treasurer  on  the  warrant  of  the  comptroller  on  the  approval  of  the 
chairman  of  the  senate  finance  committee  and  the  chairman  of  the 
assembly  ways  and  means  committee. 

§  7.    This  act  shall  take  effect  immediately. 


136  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

CHAPTER    15O,  LAWS   OF    1918 

AN  ACT  to  amend  chapter  two  hundred  and  thirty-eight  of  the  laws 
of  nineteen  hundred  and  seventeen,  entitled,  "An  act  creating 
the  hospital  development  commission,  defining  its  powers  and 
duties,  authorizing  contracts  for  new  buildings  in  connection  with 
the  Utica  state  hospital  and  the  Middletown  state  hospital,  and 
making  appropriations  for  such  purpose  and  for  the  expense  of 
the  hospital  development  commission,"  in  relation  to  the  segrega- 
tion of  the  feeble-minded  and  the  selection  of  a  site  for  a  new  hos- 
pital for  the  insane,  and  making  an  appropriation  for  expenses  of 
such  commission  in  connection  therewith. 

Section  i.  Section  two  of  chapter  two  hundred  and  thirty-eight  of 
the  laws  of  nineteen  hundred  and  seventeen,  entitled  "An  act  creating 
the  hospital  development  commission,  defining  its  powers  and  duties, 
authorizing  contracts  for  new  buildings  in  connection  with  the  Utica 
State  Hospital  and  the  Middletown  State  Hospital,  and  making  appro- 
priations for  such  purpose  and  for  the  expense  of  the  hospital 
development  commission,"  is  hereby  amended  by  inserting  therein,  at 
the  end  thereof,  two  new  subdivisions,  to  be  subdivisions  ten  and 
eleven,  to  read  as  follows: 

10.  Make    recommendations    for   a    reclassification   of  the  institu- 
tions of  the  state  except  the  prisons  and  the  hospitals  for  the  insane 
with  a  view  to  the  segregation  of  the  feeble-minded. 

11.  Select  a  site  for  a  new  hospital  for  the  insane  adjacent  to  the 
metropolitan  district  as  defined  in  the  report  of  the  hospital  develop- 
ment commission  transmitted  to  the  legislature,  February  eighteenth, 
nineteen  hundred  and  eighteen.     Such  site  shall  be  so  situated  as  to 
preclude  any  danger  of  contamination  to  the  water  supply  of  any 
municipality  from  the  sewage  of  said  institution  when  erected. 

§  2.  The  sum  of  ten  thousand  dollars  ($10,000)  is  hereby  appropriated 
to  the  hospital  development  commission  created  pursuant  to  chapter 
two  hundred  and  thirty-eight  of  the  laws  of  nineteen  hundred  and 
seventeen,  for  securing  an  option  on  a  site  for  the  new  hospital  re- 
ferred to  in  subdivizion  eleven  of  section  two  of  such  chapter,  as 
added  by  this  act,  and  for  the  making  of  necessary  tests,  borings, 
surveys  and  investigations  to  determine  the  question  of  adequate 
water  supply  and  practicability  of  sewage  disposal  for  such  new  hos- 
pital. The  moneys  hereby  appropriated  shall  be  payable  by  the 
treasurer  on  the  warrant  of  the  comptroller  on  the  approval  of  the 
chairman  of  the  senate  finance  committee  and  the  chairman  of  the 
assembly  ways  and  means  committee. 

§  3.  This  act  shall  take  effect  immediately. 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  137 

CHAPTER  321,  LAWS  OF  1917 

AN  ACT  to  amend  the  public  health  law,  in  relation  to  registration 
districts  for  vital  statistics. 

Section  i.  Sections  three  hundred  and  seventy-two  and  three  hun- 
dred and  seventy-three  of  chapter  forty-nine  of  the  laws  of  nineteen 
hundred  and  nine,  entitled  "An  act  in  relation  to  the  public  health, 
constituting  chapter  forty-five  of  the  consolidated  laws,"  as  added  by 
chapter  six  hundred  and  nineteen  of  the  laws  of  nineteen  hundred  and 
thirteen,  are  hereby  amended  to  read  as  follows : 

§  372.  Registration  districts. — The  state  shall  be  divided  into  regis- 
tration districts  as  follows:  Each  city,  each  incorporated  village,  each 
town,  and  each  state  hospital,  charitable  or  penal  institution  shall 
constitute  a  primary  registration  district,  provided  that  the  state  com- 
missioner of  health  may  combine  two  or  more  primary  registration 
districts  or  divide  one  registration  district  into  two  or  more  primary 
districts  to  facilitate  registration. 

§  373.  Registrar  of  vital  statistics. — In  each  primary  registration 
district  there  shall  be  a  registrar  of  vital  statistics.  Qualifications  of 
registrars  of  vital  statistics  hereafter  appointed  shall  be  prescribed  by 
the  public  health  council.  A  local  health  officer  shall  be  eligible  for 
appointment  as  registrar  of  vital  statistics  and  if  so  appointed  and  if 
receiving  a  salary  equivalent  to  not  less  than  fifteen  cents  per  year 
per  inhabitant  of  such  fegistration  district,  he  shall  serve  as  registrar 
of  vital  statistics  without  additional  remuneration  therefor.  In  towns 
and  villages  the  registrar  or  registrars  of  vital  statistics  shall  be 
appointed  by  the  town  board  and  by  the  village  board  of  trustees 
respectively;  in  the  cities,  unless  otherwise  provided  by  the  charter, 
the  registrar  or  registrars  of  vital  statistics  shall  be  appointed  by  the 
mayor.  In  each  primary  registration  district  consisting  of  a  state 
hospital,  charitable  or  penal  institution,  the  registrar  shall  be  the 
superintendent  or  person  in  charge  of  such  institution,  provided  how- 
ever, that  he  shall  receive  no  additional  remuneration  for  acting  as 
such  registrar.  The  term  of  office  of  a  registrar  of  vital  statistics, 
unless  the  charter  of  the  city  or  village  shall  provide  otherwise,  shall 
be  four  years.  Each  registrar  of  vital  statistics  shall  hold  office  until 
his  successor  shall  have  been  appointed  and  shall  have  qualified.  Any 
registrar  of  vital  statistics  who  in  the  judgment  of  the  state  commis- 
sioner of  health  fails  or  neglects  to  discharge  efficiently  the  duties  of 
his  office  as  set  forth  in  this  article,  or  to  make  prompt  and  complete 
return  of  births  and  deaths  as  required  thereby,  shall  be  forthwith 
removed  by  the  state  commissioner  of  health,  and  such  other  penalties 
may  be  imposed  as  are  provided  by  this  article.  Each  registrar  of 


138  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

vital  statistics  shall  immediately  upon  his  acceptance  of  appointment 
as  such,  appoint  a  deputy  whose  duty  it  shall  be  to  act  in  his  stead  in 
case  of  his  absence  or  inability,  and  such  deputy  shall  in  writing  accept 
such  appointment  and  be  subject  to  all  rules  and  regulations  governing 
registrars.  When  it  appears  neccessary  for  the  convenience  of  the 
people  in  any  rural  district,  the  registrar  is  authorized,  with  the 
approval  of  the  state  commissioner  of  health,  to  appoint  one  or  more 
suitable  persons  to  act  as  subregistrars,  who  shall  be  authorized  to 
receive  birth  and  death  certificates  and  to  issue  burial  or  removal 
permits  in  and  for  such  portions  of  the  district  as  may  be  designated, 
and  each  such  subregistrar  shall  note  on  each  certificate  over  his 
signature  the  date  of  filing  and  shall  forward  all  certificates  to  the 
local  registrar  of  the  district  within  three  days,  and  in  all  cases  before 
the  third  day  of  the  following  month;  provided,  however,  that  each 
subregistrar  shall  be  subject  to  the  supervision  and  control  of  the 
state  commissioner  of  health  and  may  be  by  him  removed  for  neglect 
or  failure  to  perform  his  duty  in  accordance  with  the  provisions  of 
this  act  or  the  regulations  of  the  public  health  council,  and  shall  be 
subject  to  the  same  penalties  for  neglect  of  duty  as  the  local  registrar. 
§  2.  This  act  shall  take  effect  immediately. 


CHAPTER  211,  LAWS  OF  1917 

AN  ACT  to  amend  the  agricultural  law,  in  relation  to  state  farms  and 
institutions. 

Section  i.  Section  twelve  of  chapter  nine  of  the  laws  of  nineteen 
hundred  and  nine,  entitled  "An  act  in  relation  to  agriculture,  consti- 
tuting chapter  one  of  the  consolidated  laws,"  as  added  by  chapter  four 
hundred  and  thirty-four  of  the  laws  of  nineteen  hundred  and  ten,  is 
hereby  amended  to  read  as  follows : 

§  12.  The  commissioner  of  agriculture  is  hereby  empowered  and 
authorized  to  examine  or  cause  to  be  examined  food  or  food  products 
produced  or  secured  for  use  in  the  state  institutions, — milk,  monthly; 
other  foods  semi-annually — and  to  make  or  cause  to  be  made  such 
other  examinations  as  he  m#y  deem  wise  or  as  the  facts  seem  to 
necessitate  and  warrant  relative  to  such  food  products  and  relative  to 
the  agricultural  methods  at  all  farms  connected  with  the  state  hospi- 
tals reporting  to  the  state  hospital  commission,  at  all  farms  connected 
with  state  charitable  institutions  reporting  to  the  fiscal  supervisor  of 
state  charities,  at  all  farms  connected  with  state  prisons  reporting  to 
the  superintendent  of  prisons,  and  report  the  results  of  such  examina- 
tions and  make  recommendations  thereupon  as  follows:  to  the  fiscal 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  139 

supervisor  relative  to  farms  connected  with  the  state  charitable  insti- 
tutions reporting  to  the  fiscal  supervisor,  to  the  state  hospital  commis- 
sion relative  to  farms  reporting  to  that  commission,  and  to  the  super- 
intendent of  state  prisons  relative  to  farms  reporting  to  that  official. 
For  the  purpose  of  assisting  the  commissioner  of  agriculture  in  the 
performance  of  duties  authorized  by  this  section,  the  fiscal  supervisor 
and  the  superintendent  of  prisons  and  the  state  hospital  commission 
shall  secure  and  transmit  to  the  commissioner  of  agriculture  such 
available  appropriate  information  and  render  such  other  assistance  as 
the  commissioner  of  agriculture  may  call  for. 

The  commissioner  of  agriculture  shall  give  such  directions  as  in  his 
judgment  are  deemed  best  to  each  superintendent,  warden,  or  other 
person  in  charge  of  the  several  farms  connected  with  the  state  insti- 
tutions above  mentioned  as  to  proper  care  and  development  of  farm 
lands  and  as  to  kind,  production  and  disposition  of  crops,  stock  and 
produce  and  all  other  matters  connected  with  the  management  of  such 
farms;  which  directions  when  issued  shall  be  made  effective  by  such 
superintendent,  warden  or  other  person  in  charge  of  such  farms.  No 
land  shall  hereafter  be  purchased  by  the  state  for  farm  purposes  con- 
nected with  any  of  the  above  institutions  without  the  approval  and 
appraisal  of  the  commissioner  of  agriculture. 

§  2.  This  act  shall  take  effect  July  first,  nineteen  hundred  and 
seventeen. 


CHAPTER  338,  LAWS  OF  191O 

AN  ACT  to  amend  the  code  of  criminal  procedure,  generally. 

Section  i.  Section  four  hundred  and  ninety-five-a  of  the  code  of 
criminal  procedure  is  hereby  amended  to  read  as  follows : 

§  495-a.  Proceedings  when  person  under  sentence  of  death  is  declared 
insane. — If  a  defendant  in  confinement  under  sentence  of  death  appears 
to  be  insane,  the  governor  may  appoint  a  commission  of  not  more  than 
three  disinterested  persons  to  examine  him,  and  report  to  the  governor 
as  to  his  sanity  at  the  time  of  the  examination.  The  commission  must 
summarily  proceed  to  make  their  examination.  Before  commencing 
they  must  take  the  oath  prescribed  in  the  code  of  civil  procedure  to  be 
taken  by  referees.  They  must  be  attended  by  the  district  attorney  of 
the  county  in  which  the  murder  was  committed,  upon  at  least  seven 
days'  notice  to  him,  and  may  call  and  examine  witnesses  and  compel 
their  attendance.  The  counsel  for  the  defendant  may  take  part  in  the 
proceedings.  When  the  commissioners  have  concluded  their  examin- 
ation, they  must  forthwith  report  the  facts  to  the  governor  with  their 
opinion  thereon.  Whenever  any  person  under  sentence  of  death  shall 


140  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

be  found  insane  by  such  commission,  the  governor  may,  in  his  dis- 
cretion, order  his  removal  to  a  state  hospital  for  insane  convicts,  there 
to  remain  until  restored  to  his  right  mind,  and  it  shall  be  the  duty  of 
the  medical  superintendent  of  such  hospital,  whenever,  in  his  opinion, 
said  convict  is  cured  of  his  insanity,  to  report  the  fact  to  the  state 
cornmission  in  lunacy  and  a  justice  of  the  supreme  court  of  the  district 
in  which  said  hospital  is  situated,  which  justice  shall  thereupon 
inquire  into  the  truth  of  such  fact,  and  if  the  same  be  proved  to  his 
satisfaction,  he  shall  so  certify  it  under  his  official  hand  to  the  clerk  of 
the  court  in  which  such  convict  was  sentenced,  and  cause  him,  the 
said  convict,  to  be  returned  to  the  custody  of  the  warden  of  the 
state  prison  whence  he  came,  there  to  be  dealt  with  according  to 
law. 

§  2.  Sections  four  hundred  and  ninety-six  and  four  hundred  and 
ninety-seven  of  the  code  of  criminal  procedure  are  hereby  repealed. 

§  3.  Section  four  hundred  and  ninety-eight  of  the  code  of  criminal 
procedure  is  hereby  amended  to  read  as  follows : 

§498.  Examination;  suspension  of  execution. — If  it  be  found  by  the 
examination  that  the  defendant  is  insane,  the  warden  must  suspend 
execution  of  the  warrant  directing  the  defendant's  death,  until  he 
receives  a  warrant  from  the  governor  directing  that  the  defendant  be 
executed. 

§  4.  Section  four  hundred  and  ninety-nine  of  the  code  of  criminal 
procedure  is  hereby  amended  to  read  as  follows: 

§  499.  Governor's  duty. — The  governor  upon  the  receipt  of  the 
certificate  of  the  justice  of  the  supreme  court,  as  provided  in  section 
four  hundred  and  ninety-five-a,  that  the  defendant  is  cured  of  his 
insanity,  and  as  soon  as  he  is  satisfied  of  the  sanity  of  the  defendant, 
or  of  his  restoration  to  sanity,  must  issue  his  warrant,  appointing  a 
time  and  place  for  the  execution  of  the  defendant,  pursuant  to  his 
sentence,  unless  the  sentence  is  commuted  or  the  convict  pardoned, 
and  may  in  the  meantime  give  directions  for  the  disposition  and 
custody  of  the  defendant. 

§  5.  Section  five  hundred  of  the  code  of  criminal  procedure  is  hereby 
amended  to  read  as  follows: 

§  500.  If  female  convict  is  pregnant,  warden  of  state  prison  to 
impanel  jury  of  physicians. — If  there  is  reasonable  ground  to  believe 
that  a  female  defendant,  sentenced  to  the  punishment  of  death,  is 
pregnant,  the  warden  of  the  state  prison  having  custody  of  the 
defendant  must  impanel  a  jury  of  six  physicians  to  inquire  into  her 
pregnancy.  A  physician  acting  as  a  juror  upon  such  an  inquisition, 
need  not  be  qualified  to  serve  as  a  juror  in  a  court  of  record. 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  141 

§  6.  Section  live  hundred  and  one  of  the  code  of  criminal  procedure 
is  hereby  amended  to  read  as  follows : 

§501.  Inquisition;  suspension  of  execution.— The  inquisition  of  the 
jury  must  be  signed  by  the  jurors  and  the  warden  of  the  prison.  If  it 
is  found  by  the  inquisition  that  the  defendant  is  quick  with  child,  the 
warden  must  suspend  the  execution  of  the  warrant  directing  her 
execution  until  he  receives  a  warrant  from  the  governor  directing  that 
the  convict  be  executed. 

§  7.  Section  five  hundred  and  two  of  the  code  of  criminal  procedure 
is  hereby  amended  to  read  as  follows : 

§  502.  Warden  to  transmit  inquisition  to  governor;  governor's  duty. — 
The  warden  must  immediately  transmit  the  inquisition  to  the  governor, 
who,  as  soon  as  he  is  satisfied  that  the  defendant  is  no  longer  quick 
with  child,  may  issue  his  warrant,  appointing  a  time  and  place  for  her 
execution,  pursuant  to  her  sentence,  or  may  commute  her  punishment 
to  imprisonment  for  life. 

§  8.  This  act  shall  take  effect  immediately. 


CHAPTER  557,  LAWS  OF  191O 

AN  ACT  to  amend  the  code  of  criminal  procedure,  in  relation  to  pro- 

tceedings  when  a  person  in  confinement  appears  to  be  insane. 
Section  i.  Section    eight    hundred    and   thirty-six  of    the  code  of 
criminal  procedure  is  hereby  amended  to  read  as  follows: 

§  836.  Proceedings  when  person  in  confinement  appears  to  be  insane. — 
If  any  person  in  confinement  under  indictment  or  under  a  criminal 
charge,  or  for  want  of  bail  for  good  behavior,  or  for  keeping  the  peace, 
or  for  appearing  as  a  witness,  or  by  order  of  any  justice,  or  under  any 
other  than  civil  process,  shall  appear  to  be  insane,  a  judge  of  a  court 
of  record  of  the  city  or  county  or  a  justice  of  the  supreme  court  of  the 
judicial  district  in  which  the  alleged  insane  person  is  confined,  in  all 
cases  outside  the  city  of  New  York,  and  in  all  cases  within  the  city 
of  New  York  in  which  the  maximum  fine  for  the  offense  exceeds  five 
hundred  dollars  or  the  term  of  imprisonment  for  the  offense  exceeds 
one  year,  shall  institute  a  careful  investigation,  call  two  legally  quali- 
fied examiners  in  lunacy,  neither  of  whom  shall  be  a  physician  con- 
nected with  the  institution  in  which  such  person  so  to  be  examined  is 
confined,  and  other  credible  witnesses,  invite  the  district  attorney  to 
aid  in  the  examination,  and,  if  he  deem  it  necessary,  call  a  jury,  and 
for  that  purpose  is  fully  empowered  to  compel  the  attendance  of 
witnesses  and  jurors,  and  if  it  be  satisfactorily  proved  that  he  is  insane, 
said  judge  shall  discharge  him  from  imprisonment  and  instead  commit 


142  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

him  to  a  state  institution  for  the  care,  custody  and  treatment  of  the 
insane,  where  he  shall  remain  until  restored  to  his  right  mind.  The 
superintendent  of  such  institution  shall  then  inform  the  said  judge 
and  district  attorney  so  that  the  person  so  confined  may  be  returned 
forthwith  to  the  authority  by  which  he  was  originally  held  in  confine- 
ment; and  the  proceeding  for  which  the  person  was  in  such  confinement 
shall  then  be  resumed.  The  fees  of  the  medical  examiners  called  as 
witnesses,  and  the  other  necessary  expenses  for  such  investigation,  shall 
be  audited  and  allowed  at  a  reasonable  sum  by  said  judge,  and' upon 
the  presentation  of  the  order  made  by  him,  such  fees  and  expenses 
shall  be  paid  by  the  county  treasurer  of  the  county  where  such  person 
is  confined,  as  a  county  charge.  In  case  any  person  within  the  city  of 
New  York,  in  confinement  under  indictment  or  under  a  criminal 
charge,  or  for  want  of  bail  for  good  behavior,  or  for  keeping  the  peace, 
or  for  appearing  as  a  witness,  or  by  order  of  any  justice,  or  under  any 
other  than  civil  process,  in  which  the  maximum  fine  for  the  offense 
does  not  exceed  five  hundred  dollars  or  the  maximum  term  of  im- 
prisonment for  the  offense  does  not  exceed  one  year,  or  in  which  no 
fine  or  term  of  imprisonment  is  provided,  shall  appear  to  be  insane, 
the  judge  or  magistrate  of  the  court  having  jurisdiction  over  the  pro- 
ceeding in  which  such  person  is  confined  shall  commit  such  apparently 
insane  person,  in  the  boroughs  of  Manhattan  and  the  Bronx  to  the  care 
and  custody  of  the  board  of  trustees  of  Bellevue  and  allied  hospitals 
who  shall  keep  such  person  in  a  safe  and  comfortable  place  until  the 
question  of  his  sanity  be  determined,  and  in  the  boroughs  of  Brooklyn, 
Queens  and  Richmond,  to  the  care  and  custody  of  the  commissioner  of 
public  charities,  who  shall  keep  such  person  in  a  safe  and  comfortable 
place,  until  the  question  of  his  sanity  De  determined.  Whenever  in 
the  city  of  New  York  a  person  is  committed  as  apparently  insane  as 
above  provided,  it  shall  be  the  duty  of  the  board  of  trustees  of  Bellevue 
and  allied. hospitals  or  the  commissioner  of  public  charities,  as  the  case 
may  be,  forthwith  to  take  proper  measures  for  the  determination  of 
the  question  of  the  insanity  of  such  person.  If  the  person  shall  be 
found  to  be  sane  by  the  authorities  to  whom  he  was  committed,  the 
judge  committing  such  person  shall  be  notified,  and  such  person  shall 
be  returned  forthwith  to  the  authority. by  which  he  was  originally  held 
in  confinement;  and  the  proceeding  for  which  the  person  was  in  such 
confinement  shall  then  be  resumed.  If  such  person  be  found  to  be 
insane,  and  no  demand  is  made  for  a  hearing  in  behalf  of  the  alleged 
insane  person,  a  judge  of  a  court  of  record  of  the  city  or  county  or  a 
justice  of  the  supreme  court  of  the  judicial  district  in  which  the 
alleged  insane  person  is  confined,  shall  discharge  him  from  imprison- 
ment and  instead  commit  him  to  a  state  institution  for  the  care, 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  143 

custody  and  treatment  of  the  insane,  where  he  shall  remain  until 
restored  to  his  right  mind.  If  a  demand  is  made  for  a  hearing  in 
behalf  of  the  alleged  insane  person  such  judge  shall  proceed  in 
accordance  with  sections  eighty-two  and  eighty-three  of  chapter 
twenty-seven  of  the  consolidated  laws.  When  an  insane  person,  com- 
mitted to  a  state  institution  in  accordance  with  the  provisions  of  this 
section,  shall  have  been  restored  to  his  right  mind,  the  superintendent 
of  such  institution  shall  inform  the  judge  who  committed  the  person 
of  the  fact  of  his  recovery,  and  such  person  shall  be  returned  forth- 
with to  the  authority  by  which  he  was  originally  held  in  confinement ; 
and  the  proceeding  for  which  the  person  was  in  such  confinement  shall 
then  be  resumed. 


CHAPTER  342,  LAWS  OF  1913 

AN  ACT  to  amend  the  state  finance  law,  in  relation  to  the  powers  and 
duties  of  the  state  comptroller. 

Section  i.  Subdivision  four  of  section  five  of  chapter  fifty-eight  of 
the  laws  of  nineteen  hundred  and  nine,  entitled  "An  act  in  relation  to 
state  finance,  constituting  chapter  fifty-six  of  the  consolidated  laws," 
is  hereby  amended  to  read  as  follows: 

5.  Draw  warrants  on  the  treasury  for  the  payment  of  the  moneys 
directed  by  law  to  be  paid  out  of  the  treasury,  but  no  such  warrant 
shall  be  drawn  unless  authorized  by  law,  and  every  such  warrant  shall 
refer  to  the  law  under  which  it  is  drawn. 

Section  2.  Section  sixteen  of  such  chapter  is  hereby  amended  to 
read  as  follows : 

Section  16.  Accounts  and  contracts.  The  comptroller  shall  prepare 
a  form  of  accounts  to  be  observed  in  every  state  charitable  institution, 
reformatory,  house  of  refuge,  industrial  school,  department,  board  or 
commission,  which  shall  be  accepted  and  followed  by  them  respect- 
ively, after  thirty  days'  notice  thereof.  Such  forms  shall  include  such 
a  uniform  method  of  bookkeeping,  filing  and  rendering  of  accounts  as 
may  insure  a  uniform  statement  of  purchase  of  like  articles,  whether 
by  the  pound,  measure  or  otherwise,  as  the  interests  of  the  public  ser- 
vice may  require,  and  a  uniform  method  of  reporting  in  such  institu- 
tions and  departments,  the  amount  and  value  of  all  produce  and  other 
articles  of  maintenance  raised  upon  the  lands  of  the  state,  or  manu- 
factured in  such  institution,  and  which  may  enter  into  the  main- 
tenance of  such  institution  or  department.  All  purchases  for  the 
use  of  any  department,  office  or  work  of  the  state  government  shall  be 
for  cash.  Each  voucher,  whether  for  a  purchase  or  for  services  or 


144  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

other  charge  shall  be  filled  up  at  the  time  it  is  taken.  Where  payment 
is  not  made  directly  by  the  state  treasurer,  proof  in  some  proper  form 
shall  be  furnished  on  oath,  that  the  voucher  was  so  filled  up  at  the 
time  it  was  taken,  and  that  the  money  stated  therein  to  have  been 
paid,  was  in  fact  paid  in  cash  or  by  check  or  draft  on  some  specified 
bank. 

Before  any  contract  made  for  o'r  by  any  state  charitable  institution, 
reformatory,  house  of  refuge,  industrial  school,  officer,  department, 
board  or  commission,  shall  be  executed  or  become  effective,  when  such 
contract  exceeds  one  thousand  dollars  in  amount,  it  shall  first  be 
approved  by  the  comptroller  and  filed  in  his  office.  Whenever  any 
liability  of  any  nature  shall  be  incurred  by  or  for  any  state  charitable 
institution,  reformatory,  house  of  refuge,  industrial  school,  officer, 
department,  board  or  commission,  notice  that  such  liability  has  been 
incurred  shall  be  immediately  given  in  writing  to  the  state  comptroller. 
Whenever  any  supplies  or  materials  are  furnished  to  any  state  chari- 
table institution,  reformatory,  house  of  refuge,  industrial  school, 
officer,  department,  board  or  commission,  a  duplicate  of  the  invoice 
shall  be  delivered  to  the  comptroller  at  the  same  time  that  it  is  de- 
livered to  the  officer,  department  or  institution  receiving  the  supplies 
or  materials. 

This  section,  as  amended,  shall  be  deemed  to  supersede  any  other 
provision  of  this  chapter  or  of  any  other  general  or  special  law 
inconsistent  therewith. 

Section  3.  This  act  shall  take  effect  immediately. 


CHAPTER   544,  LAWS   OF    1913 

AN  ACT  to  amend  the  code  of  civil  procedure,  in  relation  to  final 
orders  upon  an  application  for  the  discharge  of  a  person  im- 
prisoned or  restrained  in  his  liberty. 

Section  i.  Section  twenty  hundred  and  forty-three  of  article  three, 
title  two,  chapter  sixteen  of  the  code  of  civil  procedure,  is  hereby 
amended  to  read  as  follows : 

§  2043.  When  discharge  to  be  granted;  when  proceeding  to  cease. 
If  it  appears,  that  the  prisoner  is  unlawfully  imprisoned  or  restrained 
in  his  liberty,  the  court  or  judge  must  make  a  final  order,  discharging 
him  forthwith.  If  it  appears  that  he  is  lawfully  imprisoned  or  de- 
tained, and  is  not  entitled  to  be  bailed,  the  court  or  judge  must  make 
a  final  order,  dismissing  the  proceedings.  A  final  order  made  in  a 
proceeding  brought  on  behalf  of  a  person  imprisoned  or  detained  in 
any  of  the  state  hospitals  mentioned  in  section  forty  of  the  insanity 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  145 

law  or  in  the  Matteawan  State  Hospital  or  in  the  Dannemora  hospital 
for  insane  convicts,  shall  be  conclusive  evidence,  upon  a  hearing  of 
any  subsequent  proceeding  involving  the  detention  of  the  same  per- 
son, of  all  the  facts  determined  by  the  court,  unless  such  final  order 
shall  otherwise  specify. 
§  2.  This  act  shall  take  effect  immediately. 


CHAPTER  494,  LAWS  OF  1913 

AN  ACT  to  amend  the  labor  law,  in  relation  to  mechanics  working 
in  state  institutions. 

Section  i.  Section  three  of  chapter  thirty-six  of  the  laws  of  nineteen 
hundred  and  nine,  entitled  "An  act  relating  to  labor,  constituting 
chapter  thirty-one  of  the  consolidated  laws,"  as  amended  by  chapter 
two  hundred  and  ninety-two  of  the  laws  of  nineteen  hundred  and 
nine,  is  hereby  amended  to  read  as  follows: 

§  3.  Hours  to  constitute  a  day's  work.  Eight  hours  shall  constitute 
a  legal  day's  work  for  all  classes  of  employees  in  this  state  except 
those  engaged  in  farm  and  domestic  service  unless  otherwise  provided 
by  law.  This  section  does  not  prevent  an  agreement  for  overwork  at 
an  increased  compensation  except  upon  work  by  or  for  the  state  or  a 
municipal  corporation,  or  by  contractors  or  subcontractors  therewith. 
Each  contract  to  which  the  state  or  a  municipal  corporation  or  a  com- 
mission appointed  pursuant  to  law  is  a  party  which  may  involve  the 
employment  of  laborers,  workmen,  or  mechanics  shall  contain  a 
stipulation  that  no  laborer,  workman  or  mechanic  in  the  employ  of 
the  contractor,  subcontractor  or  other  person  doing  or  contracting  to 
do  the  whole  or  a  part  of  the  work  contemplated  by  the  contract  shall 
be  permitted  or  required  to  work  more  than  eight  hours  in  any  one 
calendar  day  except  in  cases  of  extraordinary  emergency  caused  by 
fire,  flood  or  danger  to  life  or  property.  The  wages  to  be  paid  for  a 
legal  day's  work  as  hereinbefore  defined  to  all  classes  of  such  labor- 
ers, workmen  or  mechanics  upon  all  such  public  works,  or  upon  any 
material  to  be  used  upon  or  in  connection  therewith,  shall  not  be  less 
than  the  prevailing  rate  for  a  day's  work  in  the  same  trade  or  occupation 
in  the  locality  within  the  state  where  such  public  work  on,  about  or  in 
connection  with  which  such  labor  is  performed  in  its  final  or  completed 
form  is  to  be  situated,  erected  or  used.  Each  such  contract  hereafter 
made  shall  contain  a  stipulation  that  each  such  laborer,  workman  or 
mechanic,  employed  by  such  contractor,  subcontractor  or  other  per- 
son on,  about  or  upon  such  public  work,  shall  receive  such  wages 
herein  provided  for.  Each  contract  for  such  public  work  hereafter 


146  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

made  shall  contain  a  provision  that  the  same  shall  be  void  and  of  no 
effect  unless  the  person  or  corporation  making  or  performing  the 
same  shall  comply  with  the  provisions  of  this  section;  and  no  such 
person  or  corporation  shall  be  entitled  to  receive  any  sum  nor  shall 
any  officer,  agent  or  employee  of  the  state  or  of  a  municipal  corpora- 
tion pay  the  same  or  authorize  its  payment  from  the  funds  under  iiis 
charge  or  control  to  any  such  person  or  corporation  for  work  done 
upon  any  contract,  which  in  its  form  or  manner  of  performance  vio- 
lates the  provisions  of  this  section,  but  nothing  in  this  section  shall  be 
construed  to  apply  to  stationary  firemen  in  state  hospitals  nor  to  other 
persons  regularly  employed  in  state  institutions,  except  mechanics, 
nor  shall  it  apply  to  engineers,  electricians  and  elevator  men  in  the 
department  of  public  buildings  during  the  annual  session  of  the  legis- 
lature, nor  to  the  construction,  maintenance  and  repair  of  highways 
outside  the  limits  of  cities  and  villages. 
§  2.  This  act  shall  take  effect  immediately. 


CHAPTER  344,  LAWS  OF  1914 

AN  ACT  to  amend  the  code  of  civil  procedure,  relative  to  the 
powers  and  duties  of  committees  of  the  person  and  property  of 
incompetent  persons. 

Section  i.  Section  twenty-three  hundred  and  forty-two  of  the  code 
of  civil  procedure  is  hereby  amended  to  read  as  follows: 

§2342.  Id.;  maybe  compelled  to.  file  the  same,  or  render  an  addi- 
tional account,  et  cetera.  In  the  month  of  February  of  each  year,  the 
presiding  judge  of  the  court  by  which  the  committee  of  the  property 
was  appointed,  or  if  he  was  appointed  by  the  supreme  court,  the 
county  judge  of  the  county  where  the  order  appointing  him  is  entered, 
must  examine,  or  cause  to  be  examined,  under  his  direction,  all 
accounts  and  inventories  filed  by  committees  of  the  person  and 
property,  since  the  first  day  of  February  of  the  preceding  year.  If  it 
appears,  upon  the  examination,  that  a  committee,  appointed  as  pre- 
scribed in  this  title,  has  omitted  to  file  his  annual  inventory  or 
accounting,  or  the  affidavit  relating  thereto,  as  prescribed  in  the  last 
section,  or  if  the  judge  is  of  the  opinion  that  the  interests  of  the  per- 
son, with  respect  to  whom  the  committee  was  appointed,  requires  that 
he  should  render  a  more  full  or  satisfactory  inventory  or  account,  the 
judge  must  make  an  order  requiring  the  committee  to  supply  the  de- 
ficiency, and  also,  in  his  discretion,  personally  to  pay  the  expense  of 
serving  the  order  upon  him.  An  order  so  made  may  be  entered  and 
enforced,  and  the  failure  to  obey  it  may  be  punished,  as  if  it  were 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  147 

made  by  the  court.  Where  the  committee  fails  to  comply  with  the 
order,  within  three  months  after  it  is  made,  or,  where  the  judge  has 
reason  to  believe  that  sufficient  cause  exists  for  the  removal  of  the 
committee,  the  judge  may,  in  his  direction,  appoint  a  fit  person  special 
guardian  of  the  incompetent  person,  with  respect  to  whom  the  com- 
mittee was  appointed,  for  the  purpose  of  filing  a  petition  in  his  behalf 
for  the  removal  of  the  committee  and  prosecuting  the  necessary  pro- 
ceedings for  that  purpose.  The  committee  may  be  compelled  in  the 
discretion  of  the  court  to  pay  personally  the  costs  of  the  proceedings 
so  instituted.  Where  the  examination  of  the  accounts  and  inven- 
tories of  committees  of  incompetent  persons  provided  for  herein  is 
made  pursuant  to  the  order  or  direction  of  a  county  judge,  the  ex- 
pense of  such  examination  as  allowed  by  the  county  judge  directing 
the  examination  shall  be  payable  by  the  county  treasurer  of  the 
county  out  of  any  court  funds  in  his  hands  upon  the  order  of  the 
county  judge  directing  such  examination.  The  committee  of  the 
property  of  an  incompetent  person  appointed  as  prescribed  in  this 
title,  may  at  any  time  in  the  discretion  of  the  court  making  such 
appointment,  render  to  such  court  an  intermediate  judicial  account  of 
all  his  proceedings  affecting  the  property  of  the  incompetent  person 
to  the  date  of  the  filing  thereof;  and  said  account  shall  be  then 
judicially  adjusted,  determined  and  filed;  and  the  same  shall  be  in  all 
respects  a  final  judicial  account  of  the  proceedings  of  said  committee 
affecting  said  property  to  that  time.  Notice  of  the  application  for 
such  intermediate  accounting  shall  be  given  in  the  manner  in  which 
and  to  the  persons  to  whom  notice  of  application  for  the  appointment 
of  a  committee  of  the  person  or  property  of  an  alleged  lunatic,  idiot 
or  habitual  drunkard  is  required  to  be  given  by  title  six  of  chapter 
seventeen  of  the  code  of  civil  procedure.  The  court  shall  have  power 
and  it  shall  be  its  duty  to  appoint  a  suitable  person  as  special  guardian 
of  the  incompetent  person  for  the  protection  of  his  rights  and  interest 
in  said  proceeding. 


CHAPTER  325,  LAWS  OF  1915 

AN  ACT  to  amend  the  code  of  civil  procedure,  in  relation  to  produc- 
tion of  hospital  records  by  virtue  of  a  subpcena  duces  tecum. 

Section  i.  The  code  of  civil  procedure  is  hereby  amended  by  adding 
a  new  section  after  section  eight  hundred  and  sixty-seven  thereof,  to 
be  section  eight  hundred  sixty-seven-a,  to  read  as  follows: 

§  86y-a.  Subpcena  duces  tecum  relating  to  hospital  records. — Where 
a  subpcena  duces  tecum  shall  be  served  upon  a  public  hospital,  or 


148  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

superintendent  or  officer  thereof,  requiring  the  production  of  any 
books  of  such  hospital,  showing  certain  entries  or  records  therein,  or 
any  other  record  or  data  relating  to  the  physical  condition  or  treat- 
ment of  a  patient,  a  transcript  of  such  entries  or  records  or  data 
duly  certified  by  the  superintendent  of  such  hospital  or  his  assistant 
and  delivered  to  the  court  or  tribunal  requiring  it  shall  be  deemed 
sufficient  compliance  with  such  subpoena,  unless  otherwise  ordered  by 
the  court,  and  any  such  transcript  authenticated  and  produced  as 
herein  provided,  shall  be  deemed  evidence  as  if  the  original  of  such 
books,  entries  or  records  were  produced. 

§  2.  This  act  shall  take  effect  September  first,  nineteen  hundred  and 
fifteen. 


CHAPTER  295,  LAWS  OF  1915 

AN  ACT  to  amend  the  judiciary  law,  in  relation  to  the  appointment 
of  examining  physicians  in  criminal  or  special  proceedings. 

Section  i.  Chapter  thirty-five  of  the  laws  of  nineteen  hundred  and 
nine,  entitled  tk  An  act  in  relation  to  the  administration  of  justice,  con- 
stituting chapter  thirty  of  the  consolidated  laws,"  is  hereby  amended 
by  inserting  therein  a  new  section  after  section  thirty  thereof,  to  be 
section  thirty-one,  to  read  as  follows: 

§  31.  Examining  physicians.  In  a  criminal  action  or  proceeding  or 
in  a  special  proceeding  instituted  by  the  state  writ  of  habeas  corpus 
or  certiorari  to  inquire  into  the  cause  of  detention,  in  which  the  sound- 
ness of  mind  of  a  person  is  in  issue,  the  court  in  which  or  the  judge 
or  justice  before  whom  the  action  or  special  proceeding  is  pending 
may  appoint  not  more  than  three  disinterested  competent  physicians 
to  examine  such  person  as  to  his  soundness  of  mind  at  the  time  of  the 
examination.  Any  such  examining  physician  may  be  sworn  as  a 
witness  at  the  instance  of  any  party  to  the'  action  or  proceeding. 
The  compensation  of  such  examining  physician  for  making  such 
examination  and  testifying,  when  certified  by  the  presiding  judge 
or  justice  of  the  court  or  judge  or  justice  making  the  appointment, 
shall  be  paid  out  of  any  funds  available  for  the  payment  of  and  in  the 
same  manner  as  other  court  expenses. 

§  2.  This  act  shall  take  effect  immediately. 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  149 

CHAPTER  4OO,  LAWS  OF   1918 

AN  ACT  to  amend  the  state  finance  law,  in  relation  to  creating  a 
central  supply  committee  for  the  state,  and  prescribing  its  powers 
and  duties. 

Section  i.  Article  seven  and  sections  one  hundred  and  ten  and  one 
hundred  and  eleven  of  chapter  fifty-eight  of  the  laws  of  nineteen  hun- 
dred and  nine,  entitled  "An  act  in  relation  to  state  finance,  constitut- 
ing chapter  fifty-six  of  "the  consolidated  laws,"  are  hereby  renumbered 
article  eight  and  sections  one  hundred  and  fifty  and  one  hundred  and 
fifty-one,  respectively,  and  a  new  article  seven  added  to  read  as 
follows : 

ARTICLE  VII 

Central  Supply  Committee 

Section  no.  Creation. 

in.  Organization;    sub-committee    of    the    officers    and    em- 
ployees. 

112.  Meetings. 

113.  General  powers. 

114.  Rules  and  regulations. 

115.  Joint  contracts  after  July  first,  nineteen  hundred  and 

nineteen. 

116.  Annual  schedule;  articles  included. 

117.  Letting  of  contracts. 

118.  Notice  of  contracts. 

119.  Purchases;  how  made. 

120.  Aid  to  departments  and  officers. 

121.  Exemptions. 

122.  Members  shall  not  be  financially  interested. 

123.  Schedules  of  requirements. 

§  no.  Creation.  A  committee  of  seven  members  is  hereby  created 
consisting,  ex-officio,  of  the  state  comptroller,  the  state  commissioner 
of  education,  the  superintendent  of  public  works,  the  secretary  of  the 
trustees  of  public  buildings,  the  chairman  of  the  state  hospital  com- 
mission, the  fiscal  supervisor  of  state  charities,  and  the  superintend- 
ent of  state  prisons,  which  shall  be  known  as  central  supply  committee 
for  the  state  of  New  York.  All  members  of  the  committee  shall  serve 
without  pay.  The  state  comptroller  shall  be  chairman  of  such  com- 
mittee. 


150  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

§  in.  Organization;  sub-committee  of  state  officers  and  employees. 
Within  thirty  days  after  this  article  takes  effect  the  committee  shall 
meet  and  organize  by  electing  a  secretary  from  among  its  members, 
or  from  among  the  employees  of  the  state  who  shall  have  had  broad 
experience  in  the  purchasing  of  materials  and  supplies.  Such  sec- 
retary shall  serve  at  the  pleasure  of  the  committee  without  extra 
compensation  over  and  above  that  received  in  the  regular  occupation 
in  which  he  is  employed.  Such  committee  may  also  appoint  from 
among  the  state  officers  and  employees  such  sub-committees  as  it  may 
deem  necessary  from  time  to  time  in  carrying  out  the  provisions  of 
this  article.  Such  sub-committees  may  be  changed  or  removed  at  the 
pleasure  of  the  committee. 

§  112.  Meetings.  Regular  meetings  of  the  committee  shall  be  held 
on  the  first  Tuesday  of  each  month  between  the  hours  of  two  and  four 
o'clock  in  the  afternoon  unless  such  day  falls  upon  a  holiday,  in  which 
case  the  meeting  shall  be  held  during  the  same  hours  on  the  next  day 
following.  Special  meetings  may  be  called  by  the  state  comptroller 
or  by  any  three  members  of  the  committee  at  any  time.  A  majority 
of  the  members  present  at  any  meeting  shall  constitute  a  quorum  for 
the  transaction  of  business  unless  otherwise  herein  provided.  All 
meetings  shall  be  held  at  the  office  of  the  state  comptroller  in  Albany 
and  shall  be  open  to  the  public.  The  committee  shall  keep  and  record 
full  minutes  of  all  its  meetings  and  such  minutes  shall  be  open  to- 
public  inspection  at  all  reasonable  hours. 

§  113.  General  powers.  The  committee  shall  have  power  to  take 
and  hear  testimony,  subpoena  witnesses  and  compel  the  production 
of  books,  papers  and  records;  and  the  members  thereof  or  any  person 
duly  authorized  by  it  shall  have  power  to  inspect  the  books,  records 
and  documents  of  any  state  department,  board,  commission,  office  or 
institution,  and  the  head  of  any  such  department,  board,  commission, 
office  or  institution  or  any  other  person  in  charge  thereof  shall  afford 
to  any  member  of  such  committee  or  other  person  delegated  by  it  to 
make  such  examination  every  facility  for  such  purpose.  Any  member 
of  the  committee  may  designate 'in  writing  a  deputy  or  other  assistant 
in  the  employ  of  the  state  to  represent  and  act  for  him  at  any  regular 
or  special  meeting  of  the  committee  or  for  any  other  purpose  coming 
within  the  powers  and  duties  of  such  member. 

§  114.  Rules  and  regulations.  The  committee  may  make  rules  and 
regulations  for  carrying  out  the  provisions  of  this  article,  which  rules 
and  regulations  shall  be  open  to  the  inspection  of  the  public  at  the 
office  of  the  comptroller  in  Albany  during  the  ordinary  business  hours 
of  each  day  and  shall  be  observed  by  all  departments,  boards,  com- 
missions, institutions  and  persons  coming  within  the  purview  of  this 
article. 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  151 

§  115.  Joint  contracts  after  July  first,  nineteen  hundred  and  nine- 
teen. The  committee  shall  continue  its  investigation  of  the  methods 
of  the  state  departments,  boards,  commissions,  officers  and  institu- 
tions in  the  purchasing  of  materials  and  supplies  with  a  view  to 
the  systematic  organization  and  consolidation  of  such  purchasing  on 
the  first  day  of  July,  nineteen  hundred  and  nineteen,  and  thereafter 
all  materials  and  supplies,  including  furniture  and  furnishings, 
required  for  the  various  departments,  boards,  commissions,  offices  and 
institutions  of  the  state  which  the  committee  may  determine  shall  be 
purchased  by  joint  contract  and  which  are  not  required  to  be  pur- 
chased from  the  penal  institutions  of  the  state  under  the  provisions  of 
the  prison  law  shall  be  collectively  advertised  and  contracted  for 
by  the  committee  on  such  days  as  it  may  designate. 

§  116.  Annual  schedule;  articles  included.  The  committee  shall 
make  an  annual  classified  schedule  of  all  materials  and  supplies 
which  it  shall  have  determined  shall  be  purchased  on  joint  contracts 
as  a  basis  for  soliciting  bids  for  the  furnishing  thereof  upon  formulas 
and  specifications  drawn  up  by  such  experts  in  the  service  of  the  state 
as  the  committee  may  see  fit  to  call  upon  who  shall  render  whatever 
assistance  the  committee  requires.  Such  schedule  shall  so  far  as 
possible  be  co-ordinated  to  the  state's  fiscal  year.  Articles  intended 
to  be  purchased  by  joint  contract  are  those  in  common  use  by  or 
suitable  for  the  ordinary  needs  of  two  or  more  of  the  state  depart- 
ments, boards,  commissions,  offices  and  institutions,  but  the  com- 
mittee shall  have  discretion  to  amend  the  annual  schedule  from  time 
to  time  so  as  to  include  any  articles  which  in  its  judgment  could 
be  more  advantageously  thus  purchased.  The  determination  of  the 
committee  that  articles  shall  be  purchased  by  joint  contract  shall  be 
binding  upon  all  the  departments,  boards,  commissions,  offices  and 
institutions  of  the  state  for  which  such  articles  are  included,  but 
such  determination  shall  not  affect  the  provisions  of  the  state  finance 
law  requiring  the  comptroller's  approval  of  contracts  in  excess  of  one 
thousand  dollars  in  amount.  Articles  not  determined  by  the  com- 
mittee to  be  purchased  on  joint  contract  may  be  purchased  under 
existing  laws  aside  from  the  provisions  of  this  article. 

§  117.  Letting  of  contracts.  Contracts  shall  be  let  to  the  lowest 
responsible  bidder,  taking  into  consideration  the  quality  of  the 
articles  proposed  to  be  supplied  and  their  closest  conformity  with  the 
specifications  and  uses  for  which  required.  All  bids  may  be  rejected. 
The  committee  shall  determine  the  periods  for  which  such  contracts 
shall  be  let,  except  that  no  contract  shall  be  let  for  a  period  longer 
than  one  year.  Bond  for  the  proper  performance  of  each  contract 
may  be  required  or  waived  in  the  discretion  of  the  committee. 


152  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

§  118.  Notice  of  contracts.  On  the  letting  of  any  contract  under 
this  article,  the  comptroller  shall  in  writing  notify  each  department, 
board,  commission  and  the  head  of  each  group  of  institutions  for 
which  any  materials  and  supplies  are  included,  of  the  execution  of 
such  contract,  stating  the  prices  of  the  articles  included  therein  and 
where  and  of  whom  they  may  be  obtained. 

§  119.  Purchases;  how  made.  All  purchases  under  a  joint  contract 
let  pursuant  to  this  article  shall  be  made  for  cash  or  on  credit  or 
time  not  exceeding  sixty  days. 

§  120.  Aid  to  departments  and  officers.  The  committee  shall  aid 
the  various  departments,  boards,  commissions,  officers  and  institu- 
tions in  securing  the  proper  fulfillment  of  contracts,  for  which  pur- 
pose it  may  prescribe  rules  providing  for  such  examinations,  tests  and 
deliveries  of  the  articles  received  as  may  be  necessary,  wherein  in  its 
judgment  existing  methods  of  examinations,  tests  and  deliveries  are 
insufficient;  in  making  additions  to  the  said  schedules;  in  the  prepara- 
tion, opening  and  considering  of  bids  and  in  such  other  ways  as  the 
comptroller  may  request  from  time  to  time. 

§  121.  Exemptions.  In  sudden  emergencies  arising  from  unforeseen 
causes  which  endanger  the  public  health  or  the  welfare  of  the  inmates 
of  the  institutions  or  the  property  of  the  state,  any  articles  required 
for  immediate  delivery  to  meet  such  exigencies;  telephone  service 
and  electric  light  and  power  service  purchased  by  contract  from 
corporations  or  individuals;  and  articles  used  in  scientific  laboratory, 
research  or  demonstration  work  shall  be  exempted  from  the  provi- 
sions of  this  article.  The  committee,  in  its  discretion,  may  specifically 
exempt  from  this  article  any  or  all  materials  and  supplies  required  in 
the  operation  of  the  industrial  or  manufacturing  departments  of  any 
state  institution  by  the  affirmative  vote  of  not  less  than  five  of  its 
members. 

§  122.  Members  shall  not  be  financially  interested.  No  member  of 
the  committee  shall  be  financially  interested  or  have  any  personal 
beneficial  interest  either  directly  or  indirectly  in  the  purchase  of  any 
materials  or  supplies  under  this  article  nor  in  any  firm,  corporation, 
partnership  or  association  furnishing  or  bidding  on  any  such  materials 
and  supplies. 

§  123.  Schedules  of  requirements.  All  departments,  boards,  com- 
missions and  the  heads  of  .and  for  the  various  groups  of  all  the  state 
institutions,  shall,  between  the  first  day  of  January  and  the  first  day 
of  March  in  each  year  after  this  article  takes  effect,  file  with  the  state 
comptroller  schedules  of  the  estimated  quantities  of  materials  and 
supplies  of  such  character  and  classes  as  the  committee  may  designate 
that  will  be  required  for  the  next  ensuing  fiscal  year  of  the  state, 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  153 

specifying  the  articles  and  substantially  the  grades  and  qualities 
thereof.  The  committee  shall  consider  such  schedule  with  a  view  to 
consolidating,  so  far  as  practicable,  the  quantities  of  similar  articles 
required,  eliminating  such  as  it  may  deem  unnecessary  and  sub- 
stituting standard  grades,  and,  for  the  purpose  of  such  consideration, 
may  request  that  a  representative  from  each  or  any  such  department, 
board,  commission,  office,  group  of  institutions  or  separate  institution 
be  delegated  to  attend  any  meeting  of  the  committee  for  the  purpose 
of  assisting  in  the  determination  of  such  elimination  or  substitution 
but  in  such  determination,  the  decision  of  the  committee  shall  be 
final. 
§  2.  This  act  shall  take  effect  immediately. 


EXTRACTS  FROM   CHAPTER  118, 
LAWS  OF  1916 

AN  ACT  to  amend  the  consolidated  laws,  and  other  general  acts  in 
relation  to  change  of  the  fiscal  year  and  to  adapting  such  laws  to 
such  change. 

Section  i.  Section  two  of  chapter  fifty-eight  of  the  laws  of  nineteen 
hundred  and  nine,  entitled  "An  act  in  relation  to  state  finance,  con- 
stituting chapter  fifty-six  of  the  consolidated  laws,"  is  hereby  amended 
to  read  as  follows: 

§  2.  Fiscal  year. — The  fiscal  year  of  all  offices,  asylums,  hospitals, 
charitable  and  reformatory  institutions  in  this  state  shall  begin  with 
the  first  day  of  July  and  end  with  the  next  following  thirtieth  day  of 
June.  All  books  and  accounts  in  the  offices  of  the  comptroller  and 
treasurer  shall  be  kept  by  fiscal  years.  All  annual  accounts  required 
to  be  rendered  to  the  comptroller  or  treasurer  by  any  person  shall  be 
closed  on  the  thirtieth  day  of  June  in  each  year,  and  rendered  as  soon 
thereafter  as  practicable,  if  no  time  is  specially  prescribed  by  law. 
The  first  fiscal  year  under  this  section  as  hereby  amended  shall  begin 
on  the  first  day  of  July,  nineteen  hundred  and  sixteen;  and  the  cur- 
rent fiscal  year  is  hereby  abridged,  to  end  on  the  thirtieth  day  of  June 
in  such  year. 

Where  any  statute  provides,  in  terms  or  effect,  that  any  inventory  or 
account,  or  a  report  relating  in  whole  or  in  part  to  receipts  and  dis- 
bursements of  money,  be  made  to  the  legislature  or  any  state  officer 
annually,  or  for  a  year,  by  a  board,  commission  or  officer  under  the 
state  government,  such  inventory  or  account,  and  such  report  so  far 
as  it  relates  to  such  receipts  and  disbursemnets,  shall  be  for  the 
preceding  fiscal  year,  unless  the  calendar  year  be  expressly  mentioned. 


154  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

§  2.  Subdivision  six  of  section  four  of  such  chapter  is  hereby  amended 
to  read  as  follows : 

6.  Make  a  report  to  the  legislature  at  its  annual  session,  containing 
a  complete  statement  of  the  funds  of  the  state,  its  resources  and  pub- 
lic expenditures  during  the  preceding  fiscal  year,  a  statement  of  each 
object  of  expenditure,  the   funds,  if  any,  from  which  it  is  to  be  de- 
frayed, and  a  statement  of  all  claims  against  the  state  presented  to 
him  where  no  provision  or  an  insufficient  provision  for  the  payment 
thereof  has  been  made  by  law,  with  the  facts  relating  thereto  and  his 
opinion  thereon,  and  suggesting  plans  for  the  improvement  and  man- 
agement of  the  public  resources,  and  containing  such  other  information 
and  recommendations  relating  to  the  fiscal  affairs  of  the  state,  as  in  his 
judgment  should  be  communicated  to  the  legislature.     He  shall  also 
report  to  the  legislature  on  or  before  February  first  in  each  year  the 
expenditures,  except  for  construction  work  and   permanent  better- 
ments, of  each  state  department,  commission,  board,  bureau,  office 
and  institution,  for  the  first  six  months  of  the  then  current  fiscal  year. 
(Section  3  of  this  chapter  was  amended  by  chapter  597,  Laws  of  1920. 
See  page  160.) 

§  4.  Section  twenty  of  such  chapter  is  hereby  amended  to  read  as 
follows : 

§  20.  Annual  inventory  and  report  of  institutions. — Every  state  chari- 
table institution,  state  hospital,  reformatory,  house  of  refuge  and  in- 
dustrial school  shall  file  with  the  comptroller  annually,  on  or  before 
July  twentieth,  a  certified  inventory  of  all  articles  of  maintenance  on 
hand  at  the  close  of  the  preceding  fiscal  year,  stating  the  kind  and 
amount  of  each  article.  Every  state  charitable  institution,  state  hos- 
pital, reformatory,  house  of  refuge,  state  agricultural  experiment 
station,  and  the  health  officer  of  the  port  of  New  York  during  the  con- 
tinuance of  such  office,  required  by  law  to  report  annually  to  the 
legislature,  shall  state  an  inventory  of  each  article  of  property, 
stating  its  kind  and  amount,  except  supplies  for  maintenance,  belonging 
to  the  state  and  in  their  possession  on  July  first  of  each  year. 

§  5.  Section  forty-four  of  chapter  fifty-seven  of  the  laws  of  nineteen 
hundred  and  nine,  entitled  "An  act  relating  to  state  charities,  consti- 
tuting chapter  fifty-five  of  the  consolidated  laws,"  as  amended  by 
chapter  four  hundred  and  five  of  the  laws  of  nineteen  hundred  and 
eleven,  is  hereby  repealed. 

§  6.  Subdivision  seven  of  section  sixty-five  of  such  chapter  is  hereby 
amended  to  read  as  follows : 

7.  See  that  such  accounts  and  records  shall  be  fully  made  up  to  the 
first  days  of  January  and  July  in  each  year,  and  that  the  principal 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  155 

effects  and  results,  with  his  report  thereon,  be  presented  to  the  board 
at  its  next  meeting; 

§  7.  Subdivision  three  of  section  sixty-six  of  such  chapter,  as 
amended  by  chapter  four  hundred  and  forty-nine  of  the  laws  of 
nineteen  hundred  and  ten,  is  hereby  amended  to  read  as  follows: 

3.  Balance  all  the  accounts  on  his  book  on  the  first  day  of  each  July, 
and  make  a  statement  thereof,  and  an  abstract  of  all  the  receipts  and 
payments  of  the  past  year;  and,  within  three  days  thereafter,  deliver  the 
same  to  the  auditing  committee  of  -the  managers,  who  shall  compare 
the  same  with  his  books  and  vouchers,  and  verify  the  same  by  a  fur- 
ther comparison  with  the  books  of  the  superintendent,  and  certify  the 
correctness  thereof  to  the  managers  at  their  annual  meeting; 

§  8.  Subdivision  three  of  section  one  hundred  and  eight  of  such 
chapter,  as  amended  by  chapter  four  hundred  and  forty-nine  of  the 
laws  of  nineteen  hundred  and  ten,  is  hereby  amended  to  read  as 
follows : 

3.  Balance  all  the  accounts  on  his  books  on  the  first  day  of  each  July, 
and  make  a  statement  thereof,  and  an  abstract  of  all  the  receipts  and 
payments  of  the  past  year;  and  within  five  days  thereafter  deliver  the 
same  to  the  auditing  committee  of  the  managers,  who  shall  compare 
the  same  with  his  books  and  vouchers,  and  verify  the  same  by  a  com- 
parison with  the  books  of  the  superintendent,  and  certify  the 
correctness  thereof  to  the  managers  at  their  annual  meeting. 

§  9.  Subdivision  three  of  section  one  hundred  and  thirty-two  of  such 
chapter,  as  amended  by  chapter  four  hundred  and  forty-nine  of  the 
laws  of  nineteen  hundred  and  ten,  is  hereby  amended  to  read  as 
follows : 

3.  Make  a  detailed  report  to  the  legislature  on  or  before  the  fifteenth 
day  of  January  in  each  year,  with  recommendations  as  said  managers 
may  deem  expedient,  together  with  a  statement  of  all  moneys  received 
by  them  and  of  the  progress  made  in  the  erection  of  buildings  for  hos- 
pital purposes,  if  any,  for  the  year  ending  on  the  thirtieth  day  of  June 
preceding  the  date  of  such  report. 

§  10.  Subdivision  three  of  section  one  hundred  and  thirty-four,  as 
thus  renumbered  by  chapter  four  hundred  and  forty-nine  of  the  laws 
of  nineteen  hundred  and  ten,  is  hereby  amended  to  read  as  follows: 

3.  Balance  all  accounts  on  his  books  annually  on  the  last  day  of  June 
and  make  a  statement  thereof  and  an  abstract  of  the  receipts  and  pay- 
ments of  the  past  year,  and  deliver  the  same  within  thirty  days  to  the 
auditing  committee  of  the  managers  who  shall  compare  the  same  with 
the  books  and  vouchers  and  verify  the  results  upon  further  compari- 

Ison  with  the  books  of  the  steward  and  certify  to  the  correctness 
thereof  to  the  managers  at  their  next  meeting. 


156  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

§  ii.  Subdivision  three  of  section  one  hundred  and  fifty-eight,  as 
amended  by  chapter  four  hundred  and  forty-nine  of  the  laws  of 
nineteen  hundred  and  ten,  is  hereby  amended  to  read  as  follows: 

3.  Balance  all  the  accounts  on  his  books  on  the  first  day  of  each  July, 
and  make  a  statement  thereof,  and  an  abstract  of  all  the  receipts  and 
payments  of  the  past  fiscal  year;  and  within  five  days  thereafter  deliver 
the  same  to  the  auditing  committee  of  the  trustees,  who  shall  com- 
pare the  same  with  his  books  and  vouchers,  and  verify  the  same  by  a 
comparison  with  the  books  of  the  superintendent,  and  certify  the 
correctness  thereof  to  the  trustees  at  their  next  meeting.  *  *  *  * 

(The  amendments  made  by  this  chapter  to  the  Insanity  Law  have 
been  incorporated  in  such  law  as  printed  in  this  volume.) 


EXTRACTS    FROM    CODE    OF    CRIMINAL 
PROCEDURE 

§  336.     Plea  of  insanity. 

Whenever  a  person  in  confinement  under  indictment  desires  to  offer 
the  plea  of  insanity,  he  may  present  such  plea  at  the  time  of 'his  ar- 
raignment, as  a  specification  under  the  plea  of  not  guilty. 

Sec.  454.  When  defendant  acquitted  on  the  ground  of  insanity,  the 
fact  to  be  stated  with  the  verdict;  commitment  of  defendant  to  state 
asylum. 

When  the  defense  is  insanity  of  the  defendant  the  jury  must  be  in- 
structed, if  they  acquit  him  on  that  ground,  to  state  the  fact  with  their 
verdict.  The  court  must,  thereupon,  if  the  defendant  be  in  custody, 
and  they  deem  his  discharge  dangerous  to  the  public  peace  or  safety, 
order  him  to  be  committed  to  the  state  lunatic  asylum  until  he 
becomes  sane. 

§  2.  Section  six  hundred  and  fifty-eight  of  the  code  of  criminal 
procedure  is  hereby  amended  to  read  as  follows: 

§658.  Appointment  of  commission;  their  proceedings. — When  a 
defendant  pleads  insanity,  as  prescribed  in  section  three  hundred  and 
thirty-six,  the  court  in  which  the  indictment  is  pending,  instead  of 
proceeding  with  the  trial  of  the  indictment,  may  appoint  a  commission 
of  not  more  than  three  disinterested  persons,  to  examine  him  and 
report  to  the  court  as  to  his  sanity  at  the  time  of  the  commission  of 
the  crime.  The  commission  must  summarily  proceed  to  make  their 
examination.  Before  commencing  they  must  take  the  oath  prescribed 
in  the  code  of  civil  procedure,  to  be  taken  by  referees.  They  must  be 
attended  by  the  district  attorney  of  the  county,  and  may  call  and 
examine  witnesses  and  compel  their  attendance.  The  counsel  of  the 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  157 

defendant  may  take  part  in  the  proceedings.  When  the  commissioners 
have  concluded  their  examination,  they  must  forthwith  report  the 
facts  to  the  court  with  their  opinion  thereon. 

§  3.  This  act  shall  take  effect  September  first,  nineteen  hundred 
and  ten. 

Sec.  659.  If  found  insane,  trial  or  judgment  suspended,  and  defend- 
ant to  be  committed  to  state  lunatic  asylum,  if  his  discharge  be 
dangerous  to  the  public  peace  or  safety. 

If  the  commission  find  the  defendant4nsane,  the  trial  of  judgment 
must  be  suspended  until  he  becomes  sane;  and  the  court,  if  it  deem 
his  discharge  dangerous  to  the  public  peace  or  safety,  must  order  that 
he  be,  in  the  meantime,  committed  by  the  sheriff  to  a  state  lunatic 
asylum;  and  that  upon  his  becoming  sane,  he  be  re-delivered  by  the 
superintendent  of  the  asylum  to  the  sheriff. 

Sec.  661.  Detention  of  defendant  in  asylum,  and  proceedings  on  his 
becoming  sane. 

If  the  defendant  be  received  into  the  asylum,  he  must  be  detained 
there  until  he  becomes  sane.  When  he  becomes  sane,  the  superintend- 
ent must  give  a  written  notice  of  that  fact  to  a  judge  of  the  supreme 
court  of  the  district  in  which  the  asylum  is  situated.  The  judge  must 
require  the  sheriff  without  delay  to  bring  the  defendant  from  the  asy- 
lum and  place  him  in  the  proper  custody  until  he  be  brought  to  trial, 
judgment,  or  execution,  as  the  case  may  be,  or  be  legally  discharged. 

Sec.  662.  Expenses  incident  to  sending  defendant  to  asylum,  how 
paid. 

The  expenses  of  sending  the  defendant  to  the  asylum,  of  keeping 
him  there,  and  of  bringing  him  back,  are,  in  the  first  instance,  charge- 
able to  the  county  from  which  he  was  sent;  but  the  county  may 
recover  them  from  the  estate  of  the  defendant,  if  he  have  any,  or 
from  a  relative,  town,  city,  or  county,  bound  to  provide  for  and 
maintain  him  elsewhere. 

Sec.  662-a.     Costs  of  commission  charge  upon  the  county. 

The  costs  of  any  commission  of  lunacy,  pursuant  to  the  provisions 
of  this  article,  shall  be  a  charge  upon  the  county  in  which  the  commis- 
sion shall  have  been  executed.  The  commissioners  are  entitled  to 
such  compensation  for  their  services  as  the  court  may  direct. 

EXTRACTS  FROM  PENAL  CODE 

Sec.  1 120.     Irresponsibility  of  idiot  or  lunatic. 

An  act  done  by  a  person  who  is  an  idiot,  imbecile,  lunatic  or  insane 
is  not  a  crime.  A  person  can  not  be  tried,  sentenced  to  any  punish- 
ment or  punished  for  a  crime  while  he  is  in  a  state  of  idiocy,  imbecility, 
lunacy  or  insanity  so  as  to  be  incapable  of  understanding  the 
proceeding  or  making  his  defense. 


158  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

A  person  is  not  excused  from  criminal  liability  as  an  idiot,  imbecile, 
lunatic,  or  insane  person,  except  upon  proof  that,  at  the  time  of  com- 
mitting the  alleged  criminal  act,  he  was  laboring  under  such  a  defect 
of  reason  as: 

1.  Not  to  know  the  nature  and  quality  of  the  act  he  was  doing;  or, 

2.  Not  to  know  that  the  act  was  wrong. 

Sec.  1 121.  Unlawful  confinement  of  idiots,  lunatics  anct  insane 
persons. 

A  person,  who  confines  an  idiot,  lunatic  or  insane  person,  in  any 
•other  manner  or  in  any  other  place  than  as  authorized  by  law,  and  a 
person  guilty  of  harsh,  cruel  or  unkind  treatment  of,  or  any  neglect  of 
duty  towards,  any  idiot,  lunatic  or  insane  person  under  confinement, 
whether  lawfully  or  unlawfully  confined,  is  guilty  of  a  misdemeanor. 

Sec  1 122.  Maintaining  private  insane  asylums. 

A  person  who  conducts  or  maintains  a  private  insane  asylum,  or  in- 
stitution for  the  care  or  treatment  of  persons  of  unsound  mind,  without 
a  license  issued  and  granted  to  such  person  according  to  law,  is  guilty 
of  a  misdemeanor. 


CHAPTER  83,  LAWS  OF  1919 

AN  ACT  to  amend  the  state  finance  law,  in  relation  to   purchases  by 
state  departments,  boards  and  commissions. 

Section  i.  Chapter  fifty-eight  of  the  laws  of  nineteen  hundred  and 
nine,  entitled  "An  act  in  relation  to  state  finance,  constituting  chapter 
fifty-six  of  the  consolidated  laws,"  is  hereby  amended  by  inserting 
therein,  after  section  forty-three-a,  a  new  section  to  be  section  forty- 
three-b,  to  read  as  follows: 

§  43-b.  Purchases  by  state  departments  from  the  United  States  gov- 
ernment. Whenever  money  is  available,  by  appropriation,  for  the 
purchase  of  material,  equipment  or  supplies,  for  the  state,  by  a  state 
department,  board  or  commission,  such  material,  equipment  or  sup- 
plies may  be  purchased  by  such  department,  board  or  commission, 
with  the  approval  of  the  comptroller,  from  the  United  States  govern- 
ment, if  -the  price  be  lower  than  the  ruling  market  price,  notwith- 
standing any  provision  of  statute  inconsistent  herewith. 

§  a.  This  act  shall  take  effect  immediately. 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  159 

CHAPTER  2O,   LAWS  OF    192O 

AN  ACT  to  authorize  the  construction  of  buildings  and  plant  and 
development  of  grounds  at  Creedmoor,  for  the  Brooklyn  State 
Hospital,  Creedmoor  division,  and  making  an  appropriation 
therefor. 

Section  i.  The  sum  of  five  hundred  thousand  dollars  ($500,000),  or 
so  much  thereof  as  shall  be  sufficient  to  accomplish  the  purpose  of  the 
appropriation,  is  hereby  appropriated  and  authorized  to  be  paid  as 
hereinafter  provided  out  of  any  moneys  in  the  state  treasury  not 
otherwise  appropriated,  for  the  construction  of  buildings  and  plant 
and  development  of  grounds  at  Creedmoor,  to  be  known  as  the  Brook- 
lyn State  Hospital,  Creedmoor  division.  The  state  hospital  commis- 
sion is  hereby  authorized  to  enter  into  a  contract  or  contracts  in  the 
manner  provided  by  section  sixty-five  of  the  insanity  law,  for  the  con- 
struction of  such  buildings  and  plant  and  development  of  such 
grounds  at  a  cost  not  exceeding  three  million  dollars.  The  hospital 
development  commission  shall  determine  the  character  of  develop- 
ment of  grounds,  plant  and  buildings  to  be  constructed  on  such  site, 
pursuant  to  this  act.  The  state  architect  and  the  state  engineer  and 
surveyor  may  employ  such  experts  and  other  assistants  as  may  be 
necessary  for  the  proper  development  of  plans,  surveys  and  conduct 
of  such  work,  and  their  compensation  and  expenses  shall  be  fixed  by 
such  officers,  respectively,  with  the  approval  of  the  hospital  develop- 
ment commission  and  shall  be  paid  out  of  moneys  appropriated  by 
this  act. 

§  2.  This  act  shall  take  effect  immediately. 


CHAPTER  32O,  LAWS  OF  192O 

AN  ACT  providing  for  the  use  by  the  state  hospital  commission  of 
the  state  lands  at  Beekman,  acquired  for  the  Industrial  Farm 
Colony,  and  repealing  chapter  three  hundred  and  eighty-four  of 
the  laws  of  nineteen  hundred  and  seventeen,  entitled  "An  act 
providing  for  the  use  for  military  purposes  of  the  state  lands  at 
Beekman  acquired  for  the  Industrial  Colony." 

Section  i.  The  land  and  premises  situated  in  the  town  of  Beekman, 
in  Dutchess  county,  owned  by  the  state  and  acquired  by  the  board  of 
managers  of  the  Industrial  Farm  Colony  pursuant  to  chapter  eight 
hundred  and  twelve  of  the  laws  of  nineteen  hundred  and  eleven,  shall 
be  under  the  jurisdiction  and  control  of  the  state  hospital  commission 
for  the  period  of  two  years  from  the  date  this  act  takes  effect. 


160  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

§  2.  All  movable  equipment,  supplies  and  materials  provided  by  the 
military  authorities  during  the  period  of  their  occupancy  shall  remain 
the  property  of  the  adjutant  general  of  the  state  and  the  state  armory 
commission  and  shall  be  removed  on  their  order. 

§  3.  Chapter  three  hundred  and  eighty-four '  of  the  laws  of  nineteen 
hundred  and  seventeen,  entitled  "An  act'  providing  for  the  use  for 
military  purposes  of  the  state  lands  at  Beekman  acquired  for  the 
Industrial  Farm  Colony,"  as  amended  by  chapter  two  hundred  and 
seventy-three  of  the  laws  of  nineteen  hundred  and  eighteen,  is  hereby 
repealed. 

§  4.  This  act  shall  take  effect  immediately. 


CHAPTER  597,  LAWS  OF  192O 

AN  ACT  to  amend  the  state  finance  law,  in  relation  to  statements  of 
desired  appropriations  and  board  for  classification  of  salaries,  and 
repealing  sections  forty-eight  and  forty-nine  relating  thereto. 

Section  i.  Section  seventeen  of  chapter  fifty-eight  of  the  laws  of 
nineteen  hundred  and  nine,  entitled  "An  act  in  relation  to  state 
finance,  constituting  chapter  fifty-six  of  the  consolidated  laws,"  as 
last  amended  by  chapter  one  hundred  and  eighteen  of  the  laws  of 
nineteen  hundred  and  sixteen,  is  hereby  amended  to  read  as  follows : 

§  17.  Itemized  and  monthly  accounts  of  public  officers.— The  proper 
officer  of  each  state  hospital,  asylum,  charitable  or  reformatory  insti- 
tution, the  state  hospital  commission,  the  state  board  of  charities,  the 
state  board  of  health,  the  conservation  commission  and  all  other  state 
commissions,  commissioners  and  boards,  shall,  on  or  before  the 
fifteenth  day  of  each  month,  render  to  the  comptroller  a  detailed  and 
itemized  account  of  all  receipts  and  expenditures  of  such  hospital, 
asylum,  institution,  commission,  or  board  of  commissioners  during 
the  month  next  preceding.  Such  account  shall  give  in  detail  the 
source  of  all  receipts,  including  the  sums  received  from  any  county, 
and  to  be  accompanied  by  original  and  proper  vouchers  for  all  funds 
paid  from  the  state  treasury,  unless  such  vouchers  have  been  pre- 
viously filed  with  the  comptroller  and  have  appended  or  annexed 
thereto  the  affidavit  of  the  officer  making  the  same  to  the  effect  that 
the  goods  and  other  articles  therein  specified  were  purchased  and  re- 
ceived by  him  or  under  his  direction ;  or  that  the  indebtedness  was 
incurred  under  his  direction ;  that  the  goods  were  purchased  at  a  fair 
cash  market  price  and  that  neither  he,  nor  any  person  in  his  behalf, 
had  any  pecuniary  or  other  interest  in  the  articles  purchased  or  in  the 
indebtedness  incurred;  that  he  received  no  pecuniary  or  other  benefit 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  161 

therefrom,  nor  any  promises  thereof;  that  the  articles  contained  in 
such  bill  were  received  by  him,  and  that  they  conformed  in  all  re- 
spects to  the  goods  ordered  by  him  or  under  his  direction,  both  in 
quality  and  quantity. 

§  2.  Sections  forty-eight  and  forty-nine  of  such  chapter,  as  added 
by  chapter  one  hundred  and  forty-nine  of  the  laws  of  nineteen  hun- 
dred and  ten,  are  hereby  repealed. 

§  3.  This  act  shall  take  effect  immediately. 


CHAPTER  755,  LAWS  OF  192O 

AN  ACT  to  amend  the  agricultural  law,  in  relation  to  the  use  in 
public  institutions  of  condensed  milk  containing  oil  as  a  substi- 
tute for  butter  fat. 

Section  i.  Section  fifty-three  of  chapter  nine  of  the  laws  of  nine- 
teen hundred  and  nine,  entitled  "An  act  in  relation  to  agriculture, 
constituting  chapter  one  of  the  consolidated  laws,"  is  hereby  amended 
to  read  as  follows: 

§  53.  Butterine  and  similar  products  not  to  be  purchased  by  certain 
institutions. — No  money  appropriated  by  law  for  maintenance  and 
support  in  whole  or  in  part  of  a  state  institution;  nor  money  received 
by  a  charitable,  benevolent,  penal  or  reformatory  institution  from  the 
state,  or  from  a  county,  city  or  town  thereof,  or  appropriated  by  such 
county,  city  or  town  for  the  maintenance  or  support  in  whole  or  in 
part  of  such  institution;  nor  money  belonging  to  or  used  for  the  main- 
tenance or  support  of  such  institution,  shall  be  expended'  for  the  pur- 
chase of,  or  in  payment  for,  butterine,  oleomargarine,  lard,  cheese,  or 
articles  or  products  in  imitation  or  semblance  of  natural  butter  or 
cheese  produced  from  pure  unadulterated  milk  or  cream  from  the 
same,  which  articles  or  products  have  been  rendered  or  manufactured 
in  whole  or  in  part  from  animal  fats,  or  animal  or  vegetable  oils  not 
produced  from  unadulterated  milk  or  cream  from  the  same;  nor  shall 
any  such  money  be  expended  for  any  condensed  milk  from  which  the 
butter  fat  has  been  removed  and  a  vegetable  or  other  oil  has  been 
substituted  therefor. 

§  2.  This  act  shall  take  effect  immediately. 


162  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

EXTRACTS  FROM  CHAPTER  742 
LAWS  OF  192O 

AN  ACT  to  amend  the  public  health  law,  in  relation  to  the  practice 
of  nursing. 

§  252-c.  Nurses  in  state  institutions. — The  regents  of  the  University 
of  the  State  of  New  York  shall  license  as  trained  nurses  graduates  of 
training  schools  for  nursing  in  state  institutions,  or  institutions  under 
the  visitation  of  the  state  hospital  commission,  registered  with  the 
regents  and  maintaining  a  three  years'  course  for  such  training  under 
such  rules  as  the  regents  have  prescribed. 

§  252-d.  Schools  for  trained  attendants. — Any  general  hospital 
maintaining  a  nurse  training  school  registered  by  the  regents  of  the 
University  of  the  State  of  New  York  also  may,  with  the  approval  of 
the  regents,  conduct  a  school  maintaining  proper  standards  for  the 
training  of  trained  attendants,  and  on  application  and  satisfactory 
evidence  that  such  proper  standards  are  being  maintained,  may  re- 
ceive a  certificate  of  registration  of  such  training  school  for  trained 
attendants. 


EXTRACTS  FROM  THE  UNITED  STATES 
IMMIGRATION  LAW  RELATING  TO  THE 
EXCLUSION  AND  DEPORTATION  OF 
ALIEN  DEFECTIVES  WHICH  BECAME 
EFFECTIVE  MAY  1,  1917 

Be  it  enacted  by  the  Senate  and  House  of  Representatives  of  the 
United  States  of  America  in  Congress  assembled,  That  the  word 
41  alien"  wherever  used  in  this  Act  shall  include  any  person  not  a 
native-born  or  naturalized  citizen  of  the  United  States;  but  this  defi- 
nition shall  not  be  held  to  include  Indians  in  the  United  States  not 
taxed  or  citizens  of  the  islands  under  the  jurisdiction  of  the  United 
States.  That  the  term  "  United  States"  as  used  in  the  title  as  well  as 
in  the  various  sections  of  this  Act  shall  be  construed  to  mean  the 
United  States,  and  any  waters,  territory,  or  other  place  subject, to  the 
jurisdiction  thereof,  except  the  Isthmian  Canal  Zone;  but  if  any  alien 
shall  leave  the  Canal  Zone  or  any  insular  possession  of  the  United 
States  and  attempt  to  enter  any  other  place  under  the  jurisdiction  of 
the  United  States,  nothing  contained  in  this  Act  shall  be  construed  as 
permitting  him  to  enter  under  any  other  conditions  than  those 
applicable  to  all  aliens.  ********* 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  163 

Sec.  2.    That  there  shall  be  levied,  collected,  and  paid  a  tax  of  $8  for 

every  alien,  including  alien  seamen  regularly  admitted  as  provided  in 

this  Act,  entering  the  United  States:     Provided,  That  children  under 

.  sixteen  years  of  age  who  accompany  their  father  or  their  mother  shall 

not  be  subject  to  said  tax.  ********* 

Sec.  3.  That  the  following  classes  of  aliens  shall  be  excluded  from 
admission  into  the  United  States:  All  idiots,  imbeciles,  feeble-minded 
persons,  epileptics,  insane  persons;  persons  who  have  had  one  or  more 
attacks  of  insanity  at  any  time  previously;  persons  of  constitutional 
psychopathic  inferiority;  persons 'with  chronic  alcoholism;  ****** 

Sec.  19.  That  at  any  time  within  five  years  after  entry,  any  alien 
who  at  the  time  of  entry  was  a  member  of  one  or  more  of  the  classes 
excluded  by  law;  *********  any  alien  who  within  five  years  after 
entry  becomes  a  public  charge  from  causes  not  affirmatively  shown  to 
have  arisen  subsequent  to  landing;  ******  shall,  upon  the  warrant 
of  the  Secretary  of  Labor,  be  taken  into  custody  and  deported.  *  *  *  * 

Sec.  20.  That  the  deportation  of  aliens  provided  for  in  this  Act  shall, 
at  the  option  of  the  Secretary  of  Labor,  be  to  the  country  whence 
they  came  or  to  the  foreign  port  at  which  such  aliens  embarked  for 
the  United  States;  or,  if  such  embarkation  was  for  foreign  contiguous 
territory,  to  the  foreign  port  at  which  they  embarked  for  such  terri- 
tory; or,  if  such  aliens  entered  foreign  contiguous  territory  from  the 
United  States  and  later  entered  the  United  States,  or  if  such  aliens 
are  held  by  the  country  from  which  they  entered  the  United  States 
not  to  be  subjects  or  citizens  of  such  country,  and  such  country  refuses 
to  permit  their  reentry,  or  imposes  any  condition  upon  permitting 
reentry,  then  to  the  country  of  which  such  aliens  are  subjects  or 
citizens,  or  to  the  country  in  which  they  resided  prior  to  entering  the 
country  from  which  they  entered  the  United  States.  If  deportation 
proceedings  are  instituted  at  any  time  within  five  years  after  the  entry 
of  the  alien,  such  deportation,  including  one-half  of  the  entire  cost  of 
removal  to  the  port  of  deportation,  shall  be  at  the  expense  of  the  con- 
tractor, procurer,  or  other  person  by  whom  the  alien  was  unlawfully 
induced  to  enter  the  United  States,  or,  if  that  can  not  be  done,  then 
the  cost  of  removal  to  the  port  of  deportation  shall  be  at  the  expense 
of  the  appropriation  for  the  enforcement  of  this  Act,  and  the  deporta- 
tion from  such  port  shall  be  at  the  expense  of  the  owner  or  owners  of 
such  vessels  or  transportation  line  by  which  such  aliens  respectively 
came,  or,  if  that  is  not  practicable,  at  the  expense  of  the  appropriation 
for  the  enforcement  of  this  Act.  *********  Provided,  That  when 
in  the  opinion  of  the  Secretary  of  Labor  the  mental  or  physical  condi- 
tion of  such  alien  is  such  as  to  require  personal  care  and  attendance, 
the  said  Secretary  shall  when  necessary  employ  a  suitable  person  for 


164  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

that  purpose,  who  shall  accompany  such  alien  to  his  or  her  final  desti- 
nation, and  the  expense  incident  to  such  service  shall  be  defrayed  in 
the  same  manner  as  the  expense  of  deporting  the  accompanied  alien  is 
defrayed.  Pending  the  final  disposal  of  the  case  of  any  alien  so  taken 
into  custody,  he  may  be  released  under  bond  in  the  penalty  of  not  less 
than  $500  with  security  approved  by  the  Secretary  of  Labor,  condi- 
tioned that  such  alien  shall  be  produced  when  required  for  a  hearing 
or  hearings  in  regard  to  the  charge  upon  which  he  has  been  taken  into 
custody,  and  for  deportation  if  he  shall  be  found  to  be  unlawfully 
within  the  United  States.  ****** ,***#. 


Reciprocal  arrangement  of  the  exchange  of  insane  persons 
entered  into  by  the  State  Board  of  Insanity  of  the  Common- 
ivealthof  Massachusetts  and  the  State  Hospital  Commission 
of  the  State  of  New  York 

(1)  The  term   "resident"   as  used  in  this  agreement  shall  be   a 
person  who  has  lived  continuously  in  either  State  for  a  period  of  at 
least  two   years  and,  subsequently  to  acquiring  such  a  residence  in 
either  State,  has  not  acquired  a  residence  in  any  other  State  by  living 
continuously  two  years  in  such  other  State;  provided  that  time  spent 
in  an  institution  or  on  parole  from  an  institution  for  the  insane  shall 
not  be  counted  in  determining  the  time  of  residence  in  a  State. 

(2)  All  insane  residents  of  either  State  shall  be  promptly  accepted 
by  the  duly  constituted  authorities  of  such  State. 

(3)  In  certain  cases  where  the  relatives  or  legal  guardians  or  com- 
mittee or  persons  legally  liable  for  the  maintenance  and  support  of 
the  patient  are  residents  of  either  State,  and  some  member  of  the 
family,  or  the  ward  of  such  guardian  or  committee,  acquires  a  resi- 
dence as  defined  in  this  agreement  in  the  other  State  and  becomes  a 
public  charge  because  of  insanity,  for  the  convenience  of  the  relatives 
and  for  humanitarian  reasons  the  person  may  be  accepted  by  the  duly 
constituted  authorities  of   the   State   in   which   such  relatives,  etc., 
reside. 

(4)  Each    hospital    in   each   State   shall  accept  promptly  persons 
paroled  by  such  hospital   when   returned   to   the  institution  by  the 
proper  authorities  of  the  other  State  during  the  period  of  parole. 

(5)  For  the  purpose  of  this  agreement,  the  residence  of  a  minor 
shall  be  considered  the  same  as  the  residence  of  the  parents. 

(6)  Accurate   and  detailed  histories  are  to  be  presented  by  each 
State  in  asking  for  the  acceptance  of  a  patient. 

(7)  No  person  is  to  be  transferred  from  one  State  to  the  other  who 
s  not  in  condition  to  travel  without  danger  to  himself  or  to  others, 


165  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

such  transfers,  however,  to  be  made  as  soon  as  the  mental  and  physi- 
cal condition  of  the  patient  warrants. 

(8)  In  returning  an  accepted  patient  under  this  agreement,   the 
State  making  the  return  shall  bear  all  the  expenses  incurred  and  the 
patient  shall  be  accompanied  in  every  case  by  an  authorized  agent  of 
the  State  making  the  return  to  the  place  designated  by  the  authorities 
of  the  State  to  which  the  patient  is  returned. 

(9)  By  mutual  consent,  in  any  particular  case  not  covered  by  the 
terms  of  this  agreement,  it  may  be  modified  to  meet  the  special  con- 
ditions. 

(10)  This  agreement,  duly  signed  by  the  members  of  the  respec- 
tive  Commissions  of  New  York  and  Massachusetts  shall  remain  in 
force  for  a  period  of  five  years  from  May  i,  1915. 

ANDREW  D.  MORGAN,  MICHAEL  J.  O'MEARA, 

JAMES  V.  MAY,  L.  VERNON  BRIGGS, 

FRED  H.  PARKER,  CHARLES  E.  WARD, 

New  York  State  Hospital  Massachusetts  State  Boar  a 

Commission.  of  Insanity. 

BOSTON,  Mass.,  April  i,  1915. 


GENERAL  ORDERS  RELATING  TO  THE  MANAGEMENT 
OF  THE  STATE  HOSPITALS  FOR  THE  INSANE 


GENERAL  ORDER  No.  l  AU,  INSTITUTIONS 

General  Orders  of  the  Commission 

Hereafter  all  official  orders  of  this  Commission  addressed 
generally  to  State  hospitals  for  the  insane,  licensed  institutions 
or  all  institutions  for  the  insane  under  the  jurisdiction  of  this 
Department  will  be  issued  as  General  Orders  bearing  consecutive 
numbers  and  are  to  be  filed  in  the  office  of  each  institution  in  a 
separate  binder  in  the  order  of  their  receipt  and  shall  be  subject 
to  the  examination  of  the  Commission  and  the  medical  inspector 
at  any  time. 

By  the  direction  of  the  Commission. 

EVERETT  S.  EWOOD,  Secretary. 
MARCH  24,  1916. 

GENERAL  ORDER  No.  2  STATE  HOSPITALS 

Hospital  districts 

1.  The  following  districts  are  hereby  assigned  to  the  various 
State  hospitals,  and  patients  will  be  committed  to  the  hospital 
situated  in  the  district  in  which  they  reside : 

Binghamton  State  Hospital  District — Counties  of  Broome, 
Chemung,  Chenango,  Cortland,  Delaware,  Madison,  Otsego, 
Schoharie  and  Tioga. 

Brooklyn  State  Hospital  District — Borough  of  Kings. 

Buffalo  State  Hospital  District — Counties  of  Erie  and  Niagara. 

Central  Islip  State  Hospital  District — Boroughs  of  Manhattan, 
Queens  and  the  Bronx  and  Counties  of  Nassau  and  Suffolk. 

Gowanda  State  Hospital  District — Counties  of  Cattaraugus, 
Chautauqua,  Erie  and  Wyoming,  and  patients  from  any  part  of 
the  State  for  whom  homeopathic  treatment  is  desired. 

Hudson  River  State  Hospital  District — Counties  of  Albany, 
Columbia,  Dutchess,  Greene,  Putnam,  Rensselaer,  Washington 
and  Westchester. 


*68  RULES  AND  REGULATIONS 

Kings  Park  State  Hospital  District — Borough  of  Kings,  and 
Counties  of  Nassau  and  Suffolk. 

Manhattan  State  Hospital  District— Boroughs  of  Manhattan, 
Richmond  and  the  Bronx. 

Middletown  State  Hospital  District — Counties  of  Orange, 
Rockland,  Sullivan  and  Ulster,  and  patients  from  any  part  of  the 
State  for  whom  homeopathic  treatment  is  desired. 

Rochester  State  Hospital  District— Counties  of  Genesee, 
Monroe,  Livingston  and  Orleans. 

St.  Lawrence  State  Hospital  District — Counties  of  Clinton, 
Essex,  Franklin,  Jefferson,  Lewis,  Onondaga,  Oswego  and  St. 
Lawrence. 

Utica  State  Hospital  District— Counties  of  Fulton,  Hamilton, 
Herkimer,  Montgomery,  Oneida,  Saratoga,  Schenectady  and 
Warren. 

Willard  State  Hospital  District — Counties  of  Allegany, 
Cayuga,  Onondaga,  Ontario,  Schuyler,  Seneca,  Steuben, 
Tompkins,  Wayne,  and  Yates. 

2.  Patients  from  any  part  of  the  State  for  whom  homeopathic 
treatment  is  desired  may  be  committed  to  the  Middletown  or  the 
Gowanda  State  Homeopathic  Hospitals  without  a  special  order 
from  the  Commission.  In  all  other  cases  where  it  is  desired  to 
commit  a  patient  to  a  State  hospital  outside  of  the  district  in 
which  he  resides,  application  shall  be  made  to  the  Commission 
for  a  formal  order  authorizing  such  commitment.  Such 
application  shall  state  the  reasons  why  it  is  desired  to  commit 
the  patient  to  a  hospital  outside  his  district. 

GENERAL.  ORDER  No.  3  STATE  HOSPITALS 

Schedule  of  officers4  salaries 

Maintenance  of  Officers'  Families 

1.  On  and  after  July  1,  1920,  medical  superintendents,  first 
assistant  physicians,  directors  of  clinical  psychiatry,  pathologists 
and  stewards  shall  be  entitled  to  maintenance  for  their  families, 
and  senior  assistant  physicians,  assistant  physicians  and  assistant 
stewards,  where  quarters  are  available  in  the  judgment  of  the 
medical  superintendent,  may  be  allowed  maintenance  for  their 
families,  subject  to  the  approval  of  the  Commission. 


RULES  AND  REGULATIONS  169 

Definition  of  "  Family  " 

2.  The  term  "  family  •"  shall  be  construed  to  include  only  a 
wife  and  minor  children. 

Increase  of  Salaries 

3.  Increase  of  salaries  of  resident  officers  in  all  cases  shall 
begin  on  the  first  day  of  the  calendar  month  next  ensuing  after 
the  expiration  of  one  year  from  the  date  of  appointment  to  such 
office  in  a  State  hospital. 

Number  of  Resident  Officers 

4.  The  number  of  resident  officers  of  a  hospital  below  the 
grade  of  medical  superintendent  may  be  increased,  subject  to  the 
approval    of    the    Commission,    unless    otherwise    provided    by 
statute. 

Resident  Officers 

5.  Resident  officers  of   State  hospitals  shall  be  classified  as 
follows : 

1.  Medical  superintendents. 

2.  First  assistant  physicians. 

3.  Directors  of  clinical  psychiatry. 

4.  Pathologists. 

5.  Senior  assistant  physicians. 

6.  Assistant  physicians. 

7.  Dentists. 

8.  Medical  and  dental  internes. 

9.  Stewards. 

10.  Assistant  .stewards. 

11.  Matrons. 

12.  Principals  of  training  schools. 

13.  Assistant  principals  of  training  schools. 

14.  Pharmacists. 

15.  Social  workers  or  after-care  agents. 

16.  Assistant  social  workers. 

17.  Occupational  instructors. 

Medical  Staff 

6.     The   medical   staff   below   the   grade  of   medical   superin- 
tendent in  each  State  hospital  shall  be  classified  as  follows : 


170  RULES  AND  REGULATIONS 

1.  First  assistant  physician. 

2.  Director  of  clinical  psychiatry. 

3.  Pathologist. 

4.  Senior  assistant  physician. 

5.  Assistant  physician. 

6.  Woman  physician. 

7.  Medical  and  dental  internes. 

SALARIES 

Medical  Superintendents 

Medical  superintendents  shall  receive  from  $4,000  to  $6,000  per 
annum,  with  an  increase  from  minimum  to  maximum  at  the  rate 
of  $200  at  the  end  of  each  year  of  continuous  service. 

First  Assistant  Physicians 

First  assistant  physicians  shall  receive  from  $2,700  to  $3,300 
per  annum,  with  an  increase  from  mimimum  to  maximum  at 
the  rate  of  $200  at  the  end  of  each  year  of  continuous  service. 
In  institutions  having  more  than  3,000  patients,  there  may  be  two 
first  assistant  physicians,  subject  to  the  approval  of  the 
Commission.  Only  senior  assistant  physicians  who  have  served 
in  that  grade  for  two  years  shall  be  eligible  for  promotion  to 
first  assistant  physician. 

Directors  of  Clinical  Psychiatry 

In  such  institutions  as  it  may  designate,  the  Commission  is 
authorized  to  approve  of  the  appointment  of  a  director  of  clinical 
psychiatry,  who  shall  receive  from  $2,700  to  $3,300  per  annum, 
with  an  increase  from  minimum  to  maximum  at  the  rate  of  $200 
per  annum  at  the  end  of  each  year  of  continuous  service. 
Appointment  to  this  position  shall  be  made  only  after  competitive 
civil  service  examination.  In  other  institutions,  a  medical  officer 
may  be  detailed,  subject  to  the  approval  of  the  Commission,  to 
perform  the  duties  of  director  of  clinical  psychiatry,  and  after  a 
competitive  civil  service  examination  for  that  position  shall  be 
rated  as  senior  assistant  physician. 

Pathologists 

In  such  institutions  as  it  may  designate,  the  Commission  is 
authorized  to  approve  of  tlie  appointment  of  a  pathologist  who 


RULES  AND  REGULATIONS  171 

shall  devote  his  entire  time  to  pathological  and  laboratory  work. 
Such  pathologists  shall  receive  the  salary  of  a  first  assistant 
physician  and  appointment  to  this  position  shall  be  made  only 
.after  competitive  civil  service  examination.  In  other  institutions 
where  the  entire  time  of  a  physician  is  required  for  pathological 
and  laboratory  work,  he  shall,  after  a  competitive  civil  service 
examination  for  that  position,  be  rated  as  senior  assistant 
physician,  subject  to  the  approval  of  the  Commission. 

Senior  Assistant  Physicians 

Senior  assistant  physicians  shall  receive  from  $2,000  to  $2,600 
per  annum,  with  an  increase  from  mimimum  to  maximum  at  the 
rate  of  $200  at  the  end  of  each  year  of  continuous  service. 
Promotions  of  assistant  physicians  to  the  grade  of  senior 
assistant  physicians  shall  be  based  upon  non-competitive 
promotion  examinations  irrespective  of  vacancies.  Only 
assistant  physicians  who  have  served  in  that  grade  for  two  years 
shall  be  eligible  for  examination  for  promotion. 

Assistant  Physicians 

Assistant  physicians  shall  receive  from  $1,300  to  $1,900  per 
annum,  with  an  increase  from  minimum  to  maximum  at  the  rate 
of  $200  at  the  end  of  each  year  of  continuous  service. 
Candidates  for  appointment  to  the  position  of  assistant  physician 
shall  have  served  one  year  as  a  medical  interne  in  a  State 
hospital  for  the  insane,  or  one  year  as  an  interne  or  resident 
physician  in  a  general  hospital,  and  shall  be  appointed  only  after 
a  competitive  civil  service  examination.  Assistant  physicians, 
before  appointment,  must  obtain  a  license  to  practice  medicine  in 
the  State  of  New  York. 

Women  Physicians 

Women  physicians  shall  be  classified  hereafter  as  internes, 
assistant  physicians,  and  senior  assistant  physicians.  Those 
already  in  the  service  who  are  receiving  the  maximum  salary 
shall  be  appointed  to  the  grade  of  senior  assistant  physician  upon 
passing  the  required  examination. 

Dentists 

Dentists  shall  receive  from  $1,300  to  $1,900  per  annum,  with  an 
increase  from  minimum  to  maximum  at  the  rate  of  $200  at  the 


172  RULES  AND  REGULATIONS 

end  of  each  year  of  continuous  service.  Candidates  for 
appointment  to  the  position  of  dentist  shall  have  served  one  year 
as  a  dental  interne  in  a  State  hospital  for  the  insane,  and  shall  be 
appointed  only  after  a  competitive  civil  sevice  examination. 
Dentists,  before  appointment,  must  obtain  a  license  to  practice 
dentistry  in  the  State  of  New  York. 

Medical  and  Dental  Internes 

Medical  and  dental  internes  shall  receive  $1,200  per  annum; 
appointment  to  be  made  in  accordance  with  civil  service 
regulations. 

Stewards 

Stewards  shall  receive  from  $2,700  to  $3,300  per  annum,  with 
an  increase  from  minimum  to  maximum  at  the  rate  of  $200  at  the 
end  of  each  year  of  continuous  service.  Appointments  shall  be 
made  only  after  competitive  civil  service  examination.  In 
hospitals  maintaining  a  manufacturing  department  and  doing  a 
business  exceeding  $50,000  per  annum,  the  steward  shall  receive 
the  maximum  salary  immediately. 

Assistant  Stewards 

Assistant  stewards  shall  receive  from  $1,600  to  $2,200  per 
annum,  with  an  increase  from  minimum  to  maximum  at  the  rate 
of  $200  at  the  end  of  each  year  of  continuous  service. 
Appointments  shall  be  made  only  after  competitive  civil  service 
examination. 

Matrons 

The  position  of  matron  shall  not  survive  the  present 
incumbents.  The  salary  of  these  incumbents  shall  be  in 
accordance  with  the  previous  schedule. 

Principals  of  Training  Schools 

Principals  of  training  schools  shall  receive  from  $1,200  to 
$1,500  per  annum,  with  an  increase  from  minimum  to  maximum 
at  the  rate  of  $100  at  the  end  of  each  year  of  continuous  service. 
Appointments  shall  be  made  only  after  competitive  civil  service 
examination. 


RULES  AND  REGULATIONS  173 

Assistant  Principals  of  Training  Schools 

Assistant  principals  of  training  schools  shall  receive  $900  per 
annum.  Appointments  shall  be  made  only  after  competitive  civil 
service  examination. 

Pharmacists 

Pharmacists  shall  receive  from  $1,200  to  $1,500  per  annum, 
with  an  increase  from  minimum  to  maximum  at  the  rate  of  $100 
at  the  end  of  each  year  of  continuous  service.  Appointments 
shall  be  made  only  after  competitive  civil  service  examination. 

Social  Workers  or  After-Care  Agents 

Social  workers  or  after-care  agents  shall  receive  from  $1,200 
to  $1,500  per  annum,  with  an  increase  from  minimum  to 
maximum  at  the  rate  of  $100  at  the  end  of  each  year  of 
continuous  service.  Appointments  shall  be  made  only  after 
competitive  civil  service  examination. 

Assistant  Social  Workers 

Assistant  social  workers  shall  receive  $900  per  annum. 
Appointments  shall  be  made  only  after  competitive  civil  service 
examination. 

Occupational  Instructors 

Occupational  instructors  shall  receive  $900  per  annum. 
Appointments  shall  be  made  only  after  competitive  civil  service 
examination. 

Retirement 

1.  Retirement  of  resident  officers  at  the  age  of  sixty-five 
years  shall  be  optional  with  the  State  Hospital  Commission.  It 
shall  be  the  duty  of  the  Superintendent  of  each  hospital  to  report 
to  the  State  Hospital  Commission  any  resident  officer  who  shall 
have  reached  the  age  of  retirement. 

This  schedule  is  not  intended  to  reduce  compensation  in  any 
existing  positions  nor  to  interfere  with  existing  positions  not 
mentioned. 

All  officers  receiving  less  than  the  minimum  shall  begin  at 
such  minimum  on  July  1,  1920. 

All  officers  receiving  the  minimum  or  more  than  the  minimum 
of  this  schedule  on  July  1,  1920,  shall  continue  to  increase  at  the 
prescribed  rate. 


174  RULES  AND  REGULATIONS 

All  officers  who  have  drawn  the  maximum  salary,  as  provided 
by  the  schedule  approved  March  21,  1912,  for  one  year  or  more, 
shall  receive  an  increase  on  July  1,  1920,  of  the  prescribed  rate 
and  continue  to  increase  at  the  prescribed  rate  each  year,  until 
the  maximum  of  this  schedule  is  reached. 
BY  THE  COMMISSION: 

(Signed)  EVERETT  $.  EL  WOOD, 

Secretary. 

Approved  at  the  Capitol,  in  the  City  of  Albany,  this  6th  day 
of  October,  one  thousand  nine  hundred  and  nineteen. 

(Signed)  ALFRED  E.  SMITH, 

Governor. 
(Signed)  FRANCIS  M.  HUGO, 

Secretary  of  State. 
(Signed)  EUGENE  M.   TRAVIS, 

Comptroller. 

GENERAL  ORDER  No.  4  STATE  HOSPITALS 

General  rules  relative  to  employees  and  schedule  of  wages 

1.  Vacations  and  absence  from  duty. — Employees  of  State 
hospitals  for  convenience  in  the  application  of  rules  relative  to 
,  vacations  and  absence  from  duty,  shall  be  divided  into  three 
classes,  as  follows : 

(a)  Employees    whose    service    is    substantially    continuous 
covering  all  the  days  of  the  week,  shall  be  granted  not  more 
than  sixty-six  days  leave  of  absence  during  the  year,  including 
vacations  and  holidays,  without  loss  of  pay,  and  the  time  shall 
be  arranged  at  each  hospital  by  its  superintendent. 

(b)  Employees  regularly  in  the  service  of  the  hospital,  who 
are  not  on  duty  Sundays  or  holidays,  shall  be  entitled  to  two 
weeks  annual  vacation  and  each  legal  holiday  or  its  equivalent. 

(c)  Skilled  artisans  and  those  whose  hours  of  labor  are  well 
denned  who  are  paid  on  account  of  their  skill  the  commercial 
rate  of  wages,  and  who  are  not  engaged  evenings  or  Sundays, 
shall  not  be  entitled  to  an  annual  vacation. 

Temporary  employees  shall  not  be  entitled  to  vacation  or  other 
time  allowance  with  pay. 


RULES  AND  REGULATIONS  175 

Superintendents,  however,  are  empowered,  subject  to  the 
approval  of  the  State  Hospital  Commission,  to  modify  the  rules 
and  regulations  regarding  vacations  and  leave  of  absence  at  such 
times  as  in  their  judgment  the  welfare  of  the  hospital  demands 
such  action,  and  if  an  employee's  services  are  needed  on  legal 
holidays  or  Sundays,  or  at  other  times  when  not  regularly  on 
duty,  an  equivalent  of  such  time  shall  be  given  at  the  convenience 
of  the  hospital. 

2.  Commutation  for  board  and  lodging. — No  employee  shall 
be  allowed  commutation  for  quarters  where  accommodations  are 
available  in  the  hospital,  and  commutation  at  the  rate  provided 
by  law  per  month  for  each  meal  shall  be  allowed  only  when  it  is 
impossible  for  the  employee  to  obtain  these  meals  at  the  hospital, 
unless  otherwise  authorized  by  the  Commission. 

3.  Laundry      allowance. — Employees      residing      within     the 
hospital  shall  be  entitled  to  the  number  of  pieces  provided  in  the 
laundry   schedule    adopted   at   a   conference   of   superintendents 
with  the  Commission  October  24,  1895.     Employees  lodging  away 
from  the  hospital,  except  ward  employees  who  are  directed  to 
wear  washable  uniforms,  shall  not  be  entitled  to  the  use  of  the 
laundry, 

4.  Supplies      for      members      of      employees'      families. — No 
employee  shall  be  entitled  to  the  use  for  members  of  his  family 
of    any   portion   of    the    supplies    or   products    of    the    hospital, 
without  payment   therefor   at   a   rate   to   be   determined  by  the 
superintendent,  subject  to  the  approval  of  the  Commrssion. 

5.  Graduates  of  training  schools. — No  graduate  of  a  training 
school  and  no  employee  who  has  taken  a  full  two  years'  course  in 
a  Slate  hospital  training  school  shall  be  entitled  to  the  increased 
compensation  herein  provided  for  chief  supervisors  and  nurses 
until  after  passing  an  examination  to  be  held  and  conducted  by 
the     board    of     State     hospital     examiners    appointed    by    the 
Commission. 

6.  Probationary  service. — The  probationary  term  of  service  of 
attendants    or    other    employees    who   may   be    employed    for,  a 
probationary  term,  shall  be  understood  as  applying  only  to  those 
newly  appointed,  and  the  term  of  such  service  shall  not  exceed  a 
period   of    three    months.     The   compensation    for   probationary 

.  service  shall  be  at  the  minimum  rate  established  for  that  grade 


176  RULES  AND  REGULATIONS 

of  service,  and  this  probationary  period  shall  not  extend  beyond 
the  full  calendar  month  next  following  the  date  of  employment, 
in  order  that  the  date  of  permanent  employment  shall  begin  on 
the  first  day  of  the  month. 

7.  Date  of  employment. — In  applying  the  rule  relative  to  the 
increase  of  wages  by  reason  of  length  of  service,  the  date  of 
employment  shall  be  construed  as  beginning  on  the  first  day  of 
the   calendar  month   following  the   date  of   actual  employment, 
unless  such  employment  shall  have  actually  begun  on  the  first 
day  of  the  month.     This  rule  is  not  to  be  construed  as  depriving 
an   employee   of   compensation    for   the   days    of   actual   service 
rendered  prior  to  the  first  day  of  such  month. 

8.  Transfer,    re-employment    and    discharge    of    employees. — 
Transfers  of  employees  from  one  State  hospital  to  another  shall 
be  made  only  upon  the  written  consent  of  the  superintendents  of 
the  hospitals  from  and  to  which  such  transfer  is  proposed  to  be 
made,    and    in    such    case    the    service    shall    be    regarded    as 
continuous.     Employees    leaving    the    service    and    subsequently 
obtaining  employment  therein  shall  be  regarded  and  classified  as 
new  employees.     No  employee  who  has  been  discharged  from  a 
State  hospital  shall  be  employed  in  another  hospital,  without  the 
approval,  in  writing,  of  the  superintendent  of  the  hospital  from 
which  such  employee  was  discharged. 

9.  Increase  in  wages. — In  the  classification  and  assignment  of 
existing  employees  in  conformity  with  this  schedule  the  rate  of 
wages,  in  ^ny  grade  in  which  an  increase  of  wages  is  provided, 
shall  be  determined,  in  each  case,  by  the  length  of  service  in  that 
particular  grade;  the  commencement  of  such  service  to  date  from 
the    first    of    the    month    next    ensuing    after    appointment    or 
promotion  to  such  grade. 

10.  Number  of  employees. — The  number  of  employees  in  each 
grade  shall  be  determined  by  the  superintendent,  subject  to  the 
approval  of  the  Commission. 

For  wage  schedule  see  Section  50  of  the  Insanity  Law. 

GENERAL  ORDER  No.  5  STATE  HOSPITALS 

Daily  ration  allowance 

In    preparing    quarterly     estimates     for     food    supplies     for 
submission   to  the   Commission  the   following  daily  per  capita 


RULES  AND  REGULATIONS  177 

allowance  of  the  articles  noted  should  not  be  exceeded.  The 
basis  of  computation  should  be  the  estimated  population  for  the 
quarter,  including  officers,  employees  and  patients. 

Meats 9     oz. 

Farinaceous  foods. . .  .13       " 

Potatoes 10      " 

Eggs 1/2  egg  and  ^  egg  additional  for 

10  per  cent  of  population. 

Milk 1  pint  and  1  pint  additional  for 

20  per  cent  of  population. 

Butter \y2  oz.  and  .05  oz.  additional  for 

10  per  cent  of  population. 

Cheese 3-10  oz. 

Sugar 2%      " 

Tea y8      " 

Coffee y2      " 

Fruit 10      cents  per  week  per  patient. 

GENERAL  ORDER  No.  6  AU,  INSTITUTIONS 

Statistical  reports 

1.  All  institutions  shall  prepare  statistical  data  cards  setting 
forth  important   facts  concerning  each  patient  upon  admission, 
discharge  or  death,  as  outlined  in  the  Commission's  "  Statistical 
Guide  " ;  provided,  that  in  private  licensed  institutions  this  order 
shall  relate  only  to  cases  committed  as  insane.     Such  statistical 
data  cards  shall  be   forwarded  to  the   statistician  of  the   State 
Hospital   Commission   within   one  month   after  the  end  of  the 
fiscal  year. 

2.  Each  institution  shall  submit  to  the  Commission  a  monthly 
report  of  the  movement  of  patients  within  ten  days  after  the 
close  of  each  month,  and  a  yearly  report  of  the  movement  of 
patients  within  twenty  days  after  the  close  of  the  fiscal  year. 

3.  Each    institution    shall    furnish    from    time    to    time    such 
additional   statistical   information   as   may   be   requested  by  the 
Commission. 

4.  The   detailed   directions  given  by   the   Commission  in  the 
pamphlet  entitled,  "  Statistical  Guide,"  shall  be  followed  by  all 
institutions  in  reporting  statistical  data,  unless  otherwise  'Ordered 
by  the  Commission. 


178  -   RULES  AND  REGULATIONS 

GENERAL  ORDER  No.  7  STATE  HOSPITALS 

Information  to  be  sent  to  auditor 

The  superintendent  of  each  hospital  shall  submit  estimates  and 
reports  to  the  auditor  as  follows : 

1.  Classified  estimates  in  detail  of  the  expenditures  required 
by  the  hospitals  for  the  quarterly  periods  beginning  October  1, 
January  1,  April  1,  and  June  1  of  each  year,   (Forms  2,  3  and 
4-Std.)     Such  estimates  shall  be  submitted  at  least  one  month 
prior  to  the  date  on  which  they  are  to  become  effective. 

2.  Supplemental  estimates  of  expenditures  not  included  in  the 
quarterly  estimates. 

3.  Special    fund   estimates    for   additions    and    improvements 
other    than    those    paid    for    from    maintenance    appropriations, 
(Form  5-Std.)     These  are  to  be  submitted  and  approved  before 
the  work  is  undertaken. 

4.  Inventory  of  all  maintenance  supplies  on  hand  at  the  close 
of  the  fiscal  year,    (Form  122- Adm.)     This  must  be  submitted 
not  later  than  July  20. 

5.  An     annual     farm     census     report     as     outlined    by    the 
Department  of  Agriculture.     This  should  be  submitted  as  soon 
as  possible  after  the  close  of  the  calendar  year. 

6.  Monthly  statement  of  hospital  population  including  officers, 
employees    and    patients,     (Form    26-Adm.)      This    should    be 
submitted  not  later  than  the  5th  of  each  month  for  the  preceding 
month. 

GENERAL  ORDER  No.  8  STATE  HOSPITALS 

Matters  to  be  submitted  to  treasurer 

The  superintendent  of  each  hospital  shall  observe  the  following 
order  in  submitting  matters  to  the  hospital  treasurer : 

1.  Vouchers.     All  vouchers  shall  be  rendered  on  the  official 
form,  receipted  by  claimant  and  approved  by  superintendent  and 
steward  before  being  submitted  to  the  treasurer  for  payment. 

2.  Steward's     Receipts.      The     steward's    receipts     from    all 
sources    of    revenue    including    receipts    from    reimbursing   and 
private    patients    shall    be    transmitted    to    the    treasurer    each 
Monday,  and  at  the  end  of  each  calendar  month.     Reports  on 
proper  form   (Form  46-Std.)   are  to  accompany  all  remittances, 


RULES  AND  REGULATIONS  179 

and  on  the  third  of  each  month  a  verified  statement  of  receipts 
(Forms  48  and  49-Std.)  of  the  preceding  month  showing  each 
item  in  detail  and  source  of  same  with  date  of  receipt  is  to  be 
submitted  by  the  steward. 

3.  Payrolls.     The   steward's   report  of  payrolls,   salaries  and 
wages,   (Form  47-Std.),  are  to  be  submitted  as  soon  as  possible 
after  the  first  of  each  month   (for  the  month  previous)   and  in 
any  event  not  later  than  the  fifth  of  the  month. 

4.  Bank   Balances.     The   steward's   statement   of  balances   in 
State  depositories  (Form  129— Std.)   should  be  submitted  to  the 
treasurer   not    later   than   the    third    (3rd)    day   of    each   month 
showing  the  balances  subject  to   draft  at  the  close  of  the   last 
day  of  the  month  previous. 

GENERAL  ORDER  No.  9  STATE  HOSPITALS 

Information  to  be  furnished  collection  attorney 

All     vState    hospitals     shall     furnish    the    collection    attorney 
information  as  follows : 

1.  List  of  patients  admitted  each  month,  giving  their  names 
and    addresses,    dates    of-   admission,    names    and    addresses    of 
correspondents,  and  such  information  regarding  the  finances  of 
the  patients  and  relatives  as  they  may  obtain,  (Form  45-Adm.) 

2.  Notice  when  legal  papers  have  been  served  on  the  patients, 
giving    the    nature     of     the    proceedings    and    when    possible, 
furnishing  copies  of  the  legal  papers. 

3.  Lists  containing  the  names  of  all  patients  whose  accounts 
are    delinquent,    as   well   as   the   names   and   addresses   of   their 
correspondents  and  the  amount  due. 

4.  Notice  when  attorneys  request  that  petitions  be  made  for 
the  appointments  of  committees  other  than  when  the  request  is 
made  by  the  Attorney-General. 

5.  Such  other  information  as  they  may  obtain  relating  to  the 
financial  condition  of  the  patients  and  their  relatives. 

GENERAL  ORDER  No.  10  ALL  INSTITUTIONS 

Service  of  legal  process  upon  insane  patients,  and  the  execution 
of  instruments  by  them 

1.     (a)     The    superintendent    or    officer    in    charge    of    each 
institution   for  the  care  and  treatment  of  the  insane  is  hereby 


i8o  RULES  AND  REGULATIONS 

directed  not  to  permit  the  service  of  any  legal  process,  other 
than  citations  for  probate  of  wills,  letters  of  administration,  or 
on  application  for  intermediate  or  final  settlement  of  the  accounts 
of  committees,  or  on  final  accountings  in  Surrogate's  Courts,  or 
such  as  may  be  instituted  for  the  appointment  of  committees, 
upon  any  insane  patient  except  upon  the  order  of  a  judge  of  a 
court  of  record,  which  shows  that  the  judge  had  notice  of  the 
fact  that  the  person  sought  to  be  served  was  at  the  date  of  the 
order  an  inmate  of  such  institution. 

At  the  time  the  service  of  any  process  is  made  the  following 
proceedings  must  be  had : 

The  nature  of  the  process,  the  date  of  the  same,  name  of  the 
court  out  of  which  it  is  issued,  and  the  date  of  its  service  must 
be  entered  in  the  history  of  the  patient  in  the  case-book. 

A  certified  copy  of  the  order  upon  which  the  service  is  made 
and  of  the  process  to  be  served  must  be  filed  with  the  papers 
relating  to  the  patient. 

A  copy  of  the  process  together  with  an  explanatory  letter, 
must  be  forwarded  at  once  to  the  committee  of  the  person  and 
property  of  the  patient,  if  there  be  one,  or,  if  there  be  no 
committee,  then  to  the  nearest  known  relative  or  next  friend  of 
such  patient. 

(&)  No  insane  person  shall  be  permitted  to  sign  any  bill, 
check,  draft  or  other  evidence  of  indebtedness  or  to  execute  any 
contract,  deed,  mortgage  or  other  legal  conveyance,  except  upon 
the  order  of  a  judge  of  a  court  of  record,  which  shows  that  the 
judge  had  notice  of  the  fact  that  the  person  whose  signature  is 
sought  to  be  obtained  was  at  the  date  of  the  order  an  inmate 
of  an  institution  for  the  care  and  treatment  of  the  insane. 

At  the  time  of  the  execution  of  the  order  the  following 
proceedings  must  be  had : 

The  medical  superintendent,  one  of  his  assistants  or  the  officer 
in  charge  must  be  present  at  the  time  of  the  execution  of  the 
order,  and  must  see  that  its  terms  are  strictly  complied  with. 

The  substance  of  the  order  and  the  proceedings  had  thereunder 
must  be  entered  in  the  history  of  the  patient  in  the  case-book. 

,A  certified  copy  of  the  order  must  be  filed  with  the  papers 
relating  to  the  patient,  and  a  copy  of  the  same,  together  with  a 
notice  of  the  proceedings  had  thereunder,  must  be  forwarded  at 


RULES  AND  REGULATIONS  181 

once  to  the  committee  of  the  person  and  property,  if  there  be 
one,  or,  if  there  be  no  committee,  then  to  the  nearest  known 
relative  or  next  friend  of  the  patient. 

The  original  orders  are  required  by  statute  to  be  filed  with 
the  clerk  of  the  court. 

2.  The  medical  superintendent  or  officer  in  charge  is  hereby 
directed  to  keep  a  copy  of  these  orders  posted  conspicuously  in 
the  general  reception  room  and  office  of  each  institution  for  the 
care  and  treatment  of  the  insane. 

GENERAL,  ORDER  No.  11  AL.I,  INSTITUTIONS 

Correspondence  of  patients 

1.  Every  person  committed  to  an   institution   for  the  insane 
should  be  permitted  to  write  to  some  relative  or  friend  once  in 
two  weeks,   and  oftener  if   necessary,   in  the  discretion  of  the 
medical  superintendent.     In  the  case  of  patients  unable,  for  any 
cause,   to   write,    the   medical    superintendent   must   direct   some 
proper  person  to  write  for  such  patients  at  suitable  intervals,  if 
they  so  desire. 

2.  Whenever  a  patient  in  a  State  hospital  has  a  guardian  or 
committee  of  his  or  her  person  and  estate,  lawfully  appointed, 
mail  matter  addresed  to  or  by  such  patient  should  be  disposed 
of    according    to    the  -written    directions    of    such    guardian    or 
committee;  and  only  in  special  or  extraordinary  cases  need  such 
mail  matter  be  forwarded  to  the  office  of  the  Commission. 

3.  Whenever    a    lawfully    adjudged    and    committed    insane 
person,  who  is  a  patient  in  a  State  hospital,  has  no  guardian  or 
committee,    lawfuly   appointed,    mail    matter   addressed   to   such 
patient  and  delivered  to  the  superintendent  of  the  hospital,  may, 
in  the   discretion  of   such  superintendent,  be  delivered  to   such 
patient  unopened,  if,  in  his  judgment,  it  is  safe  to  do  so;  or,  if  he 
has  a  well-grounded  reason  to  believe  that  to  deliver  such  mail 
matter    to     such    patient    would    be    unsafe    or    unwise    and 
prejudicial  to  the  interests  of  such  patient  or  of  the  institution, 
such     superintendent     may     withhold     such     mail     matter     for 
examination  and  detention,  if-  deemed  advisable,  always  having 
cjue  regard  to  the  prevailing  rule  as  to  the  inviolability  of  mail 
matter  and  seeking  to  maintain  it  whenever  it  is  practicable  or 
proper  to  do  so. 


182  RULES  AND  REGULATIONS 

4.  Letters  which  are  obscene,  profane,  illegible  or  incoherent 
or     otherwise     objectionable,     should     be     forwarded     to     the 
Commission,  the  guardian  or  committee  of  the  person  or  estate 
of  the  patient,  or  disposed  of  in  accordance  with  the  instructions 
of  such  guardian  or  committee  or  the  nearest  relative  or  returned 
to  the  patient  with  reason  for  such  action,  and  permission  shall 
be  given  to  the  patient   in  every  such  instance  to  forward  the 
letter  to  the  State  Hospital  Commission,  if  so  desired. 

5.  The   "  proper  discretion "  which  hospital  authorities  may, 
in  the  opinion  of  the  post-office  department,  rightly  exercise  as 
to  preventing  the  transmission  of  mail  matter  addressed  by  a 
patient  to  parties  outside,  should  be  exercised  in  good  faith  and 
with  fair  judgment,  erring  if  at  all,  on  the  side  of  a  liberal  view 
of      each     particular     case.       The      Commission     thinks     that 
comparatively   few   letters   of  patients   ought   to   be   suppressed, 
and  those  only  where  the  objection  to  transmission  is  clear  and 
conclusive.  • 

6.  All    letters    addressed    to    the    governor,    attorney-general, 
judges    of    courts    of    record,    district    attorneys    or    the    State 
Hospital    Commissioners    or    their    medical    inspector,    must    be 
forwarded  at  once,  without  examination. 

GENERAL  ORDER  No.  12  AU,  INSTITUTIONS 

Reports  of  accidents,  injuries  and  escapes 

All  accidents,  injuries  and  escapes  are  to  be  reported  in 
duplicate  immediately  after  their  occurrence  on  Form  159-Adm. 
by  all  institutions  as  follows : 

1.  State     specifically    whether    injuries    were    accidental    or 
resulted  from  the  act  of  another  patient  or  an  employee. 

2.  State  whether  the  occurrence  was  witnessed  by  employees, 
or  by  patients  whose  evidence  is  considered  reliable,  giving  the 
names  of  witnesses,  and  state  what  treatment  was  instituted. 

3.  If    an    employee    was    at    fault,    state    what    disciplinary 
measures  have  been  taken. 

4.  Give    the   names    and   addresses   of   relatives   and   friends 
who  were  notified. 

Elopements  of  patients  are  also  to  be  reported,  observing  the 
above  instructions  so  far  as  they  apply. 


RULES  AND  REGULATIONS  183 

GENERAL,  ORDER  No.  13  STATE  HOSPITALS 

Transfer  of  patients 

The  authorities  of  each  State  hospital  are  hereby  directed  to 
send  such  number  of  trained  attendants  as  may  be  necessary  to 
transfer  patients  supported  at  public  expense  from  their  homes 
to  State  hospitals,  but  relatives  or  friends  may  transfer  or 
accompany  such  patients  at  their  own  expense. 

The  following  rules  must  be  observed  by  superintendents  of 
State  hospitals,  by  all  county,  city  and  town  offiicals,  also  by 
relatives  and  friends,  when  accompanied  by  a  public  officer,  in 
the  removal  of  insane  patients  to  State  hospitals  and  in  the 
transfer  of  the  same  from  one  State  hospital  to  another : 

1.  Patients  must  be  in  a  condition  of  bodily  cleanliness. 

2.  Patients  must  not  under  any  circumstances  be  taken  from 
their  residences  to  a  poorhouse  for  the  purpose  of  examination 
as  to  their  insanity. 

3.  Patients  must  be  provided  with  the  following: 

(a)  One  full  suit  of  underclothing. 

(b)  One  full  suit  of  outer  clothing,  including  headwear, 
boots  or  shoes. 

(c)  A  nightdress,  nightgown  or  suitable  sleeping  garment. 

Between  the  last  day  of  October  and  the  last  day  of  March, 
there  shall  be  provided,  in  addition  to  the  foregoing,  a  suitable 
overcoat  for  men  patients  and  a  suitable  shawl  or  cloak  for 
women  patients,  also  gloves  or  mittens.  Considering  the  great 
danger,  always  present,  of  the  introduction  of  contagious  or 
infectious  diseases  into  institutions  where  large  numbers  of 
people  are  congregated,  and  to  avoid  as  far  as  possible,  the 
introduction  of  such  diseases  by  means  of  wearing  apparel,  the 
clothing  referred  to  above  must  in  all  cases  be  new,  unless 
Otherwise  authorized  by  the  superintendent  of  the  hospital.  But 
new  clothing  need  not  be  provided  where  patients  are,  transf ererd 
from  one  institution  for  the  care  and  treatment  of  the  insane 
to  another. 

4.  When  patients  are  transferred  from  one  State  hospital  to 
another  an  additional  full  suit  of  underclothing  shall  accompany 
each  patient. 


184  RULES  AND  REGULATIONS 

5.  In  traveling  by  rail,  patients  must  not  be  compelled  to  ride 
in  smoking  or  baggage  cars,  except  in  the  .case  of  men  patients 
who  may  be  so  violent,  profane  or  obscene,  as  to  render  their 
presence  in  ordinary  passenger  coaches  offensive.     If  any  portion 
of  the  route  be  traversed  by  team,  a  covered  conveyance  should, 
unless  impossible,  be  provided.     The  shortest  practicable  route 
should  be  selected;   the  hour  of  departure  should  be  timed,  as 
far  as  possible,  so  as  to  avoid  the  necessity  of  stopping  over  night 
on    the    journey    and    so    as    not    to    reach    the    hospital    at    an 
unseasonable  hour.     Whenever  practicable,  a  notice  in  advance 
of  the  coming  of  the  patients  should  be  sent  by  mail  or  telegraph, 
to  the  medical  superintendent  of  the  hospital.     In  cases  of  violent 
patients,  a  sufficient  number  of  attendants  should  be  provided  to 
control  their  actions  without  resorting  to  the  use  of  mechanical 
restraints,  such  as  straps,  ropes,  chains,  handcuffs,  etc.     Quieting 
medicines  should  not  be  given  to  such  patients  except  upon  the 
prescription  of  a  physician.     If  it  becomes  necessary  to  remain 
over  night  or  for  a  number  of  hours  at  a  station  on  the  route, 
patients   must   not   be   taken   to   jail,   police    station   or   lock-up. 
Food   in   proper   quantity,    and   at   intervals   not   exceeding   five 
hours,     should     be     provided     for    patients,     but     no     alcoholic 
beverages  must  be  given  unless  upon  prescription  of  a  physician. 
Opportunity  must  be  afforded  for  attention  to  the  calls  of  nature, 
and   the   rules   of   decency   must   be   observed.     In   case   of   the 
employment  of   extra   attendants   in  conveying  violent  patients, 
care  must  be  taken  that  they  are  of  adult  age  and  of  good  moral 
character.     The    provisions   of   the    statute   that   require   that   a 
woman   shall   accompany  women  patients   when   taken   to   State 
hospitals  must  be  strictly  complied  with. 

6.  Any  violation  of  the   requirements  of  this  order  shall  be 
promptly  reported  by  the  medical  superintendent  of  the  hospital 
receiving  the  patient  to  the  State  Hospital  Commission. 

7.  The  superintendents  of  the  State  hospitals  may  waive  the 
requirement   of   new   clothing  in  the   case   af  patients   received 
from  their  homes,  using  their  judgment  as  to  said  clothing  being 
suitable  as  required  by  law. 

8.  No  patient  shall  be  transferred  from  one  institution  for 
the  care  and  treatment  of  the  insane  to  another  except  upon  the 
following  terms  and  conditions : 


RULES  AND  REGULATIONS  185 

(a)  An  application  in  writing  setting  forth  the  reasons 
for    such    transfer    shall    be    made    to   the    Commission    by   the 
medical    superintendent   or   officer   in   charge   of   the   institution 
from  which  the  transfer  is  sought  to  be  made. 

(b)  An    order    of    transfer    in    writing,    attested    by   its 
secretary,  must  be  obtained  from  the  Commission. 

(c)  The  order  of  transfer  must  be  filed  in  the  institution 
from  which  the  transfer  is  made,  and  a  certified  copy  of  the 
same,   together  with   the  original   medical  certificate   of   lunacy 
and    an    abstract    of    the    case    records,    must    be    filed    in    the 
institution  to  which  the  transfer  is  made. 

(d)  The    medical    superintendent    of    the    institution    to 
which    the   transfer   is    made    shall,    within    ten    days   after   the 
receipt  of  the  patient,  notify  the  Commission  of  the  fact  and  the 
date   thereof,   but   a   copy  of   the   medical   certificate   of   lunacy 
need  not  accompany  the  notice. 

Subdivision  8  of  this  order  shall  not  apply  to  either  of  the 
following  cases : 

(a)  Patients    of    the    State    hospitals    for    the    criminal 
insane,  or  patients  committed  upon  "  criminal  orders." 

(b)  Patients    ordered    transferred    by    the    Commission 
upon  its  own  motion. 

GENERAL  ORDER  No.  14  ALI,  INSTITUTIONS 

Parole  and  escape  of  patients 

1.  No  insane  patient,  while  in  the  custody  of  an  institution, 
shall  be  permitted  to  go  upon  parole,  who,  in  the  judgment  of 
the  medical  superintendent  or  physician  in  charge,  is  homicidal, 
suicidal,  destructive  or  dangerous,  either  to  himself  or  others. 

2.  No  parole  shall  be  granted  for  a  greater  period  than  one 
year,   exclusive  of   the  date  thereof,  and  the   following  entries 
relating  to  said  parole  shall  be  made  in  the  patient's  history  in 
the  case-book :     Date  of  parole,  place  or  places  where  patient 
may  go,  and,  if  paroled  in  the  care  of  a  person,  the  name  and 
residence  of  such  person,  and  the  date  when  such  parole  is  to 
end. 

3.  Upon    the    escape    of    a    patient    prompt    and    vigorous 
measures  shall  be  taken  to  secure  his  return;  relatives  or  other 


i86  RULES  AND  REGULATIONS 

persons  responsible  for  the  commitment  of  such  patient  must 
immediately  be  notified  in  writing,  and  where  possible  by 
telephone  or  telegraph,  and  the  date  of  the  escape  and  the 
proceedings  taken  in  relation  thereto  must  be  entered  in  the 
case-book  at  once. 

4.  A  patient  who  has  escaped  if  not  returned  to  the  institution 
at  the  end  of  six  months  or  paroled  before  that  time,  must  be 
discharged  from  the  books  at  that  time  and  thereafter  a  notice 
ot     such     discharge    by    escape    must    be     forwarded    to     the 
Commission,  but  not  otherwise,  and  such  patient  must  not  be 
readmitted  except  upon  a  new  medical  certificate  of  lunacy. 

5.  Nothing    in    this    order    contained    shall   be    construed    to 
permit  a  patient  held  on  a  "  criminal  order,"  or  on  a  "  warrant 
of    arrest"    issued    by    the    United    States    Government    as    a 
preliminary  to  deportation,  to  be  paroled  or  discharged  in  case 
of  escape. 

6.  The  institution  paroling  a  patient  shall  not  be  liable  for  his 
expenses  while  on  parole.     Such  liability  shall  devolve  upon  the 
relative,    committee    or    person    to    whose    care    the    patient    is 
paroled,   or  the  proper  poor  official   of  the   town   or   county  in 
which  he  may  have  found  domicile. 

GENERAL  ORDER  No.  18  STATE  HOSPITALS 

Records  of  paroled  patients 

1.  A  parole  book  shall  be  kept  at  each  State  hospital.     This 
book  shall  contain  in  chronological  order  the  names  and  addresses 
of  patients  paroled,  the  date  of  their  discharge  on  parole,  the 
length    of    parole,    the    name    of    the    patient's    physician    when 
paroled,  the  name  and  address  of  person  to  whom  paroled,  the 
diagnosis,  the  case  number  and  the  ultimate  outcome  of  the  case 
— whether  discharged,  returned  to  hospital,  or  parole  extended. 

2.  Parole  cards    (Form  51-Med.)   shall  be  filled  in  triplicate 
for  each  patient  placed  on  parole  and  shall  contain  the  name  and 
address  of  the  patient,  date  of  discharge  on  parole,  length  of 
parole,  to  whom  paroled,  and,  if  not  practicable  for  patient  to 
report    to    hospital,    the    name    and    address    of    the    clinic    or 
out-patient  department  to  which  he  is  expected  to  report.     One 
of  the  cards  shall  be  kept  in  an  index  file  at  the  hospital,  one 


RULES  AND  REGULATIONS  187 

given  to  the  patient,  and  the  third  given  to  the  social  worker  or 
sent  to  the  clinic  or  out-patient  department,  if  the  patient  is 
expected  to  report  there. 

GENERAL  ORDER  No.  19  STATE  HOSPITALS 

Contracts  for  State  hospital  supplies 

Chapter  342  of  the  Laws  of  1913,  provides  in  part  as  follows : 

1.  "  Before  any  contract  made  for  or  by  any  state  charitable 
institution,     reformatory,    house    of    refuge,    industrial    school, 
officer,   department,   board  or  commission  shall  be   executed   or 
become    effective,    when    such    contract    exceeds    one    thousand 
dollars  in  amount,  it  snail  first  be  approved  by  the  comptroller 
and  filed  in  his  office." 

2.  Four  copies  of  each  contract  are  required,  the  original -for 
the   Comptroller,   one   for  the  Commission's  office,   one  for  the 
hospital  and  one  for  the  contractor.     The  original  bids  are  to  be 
attached  to  the  Comptroller's  copy  and  will  be  retained  by  him; 
if  copies  are  desired  for  the  hospital  files,  these  should  be  made 
before  the  originals  are  sent  to  this  office.     A  tabulation  of  all 
bids    received    is    to    accompany   the.  other   papers,    and   if    the 
hospital  advertised  for  bids,  copy  of  the  advertisement  should  be 
attached  with  a  statement  showing  the  publication  in  which  it 
appeared. 

3.  In  case  an  award  is  recommended  to  any  other  than  the 
lowest  responsible  bidder,  the  superintendent  should  give  a  full 
explanation   as   to    the   reasons    for   such   recommendation.     All 
awards  are  to  be  made,  "  subj  ect  to  the  approval  of  the  State 
Comptroller,"  and  of  the  State  Hospital  Commission. 

GENERAL  ORDER  No.  20  STATE  HOSPITALS 

Absences  of  superintendants 

1.  The  superintendents  of  the  State  hospitals  are  to  report  to 
the  Commission  their  personal  absence  from  the  hospital  of 
twenty-four  hours  or  more  immediately  after  their  return, 
showing  in  each  case  the  number  of  days  absence,  the  authority 
granted  for  such  absence,  and  whether  on  personal  or  official 
business. 


i88  RULES  AND  REGULATIONS 

2.  This  order  is  not  to  be  interpreted  as  modifying  the  rules 
covering  such  absences  as  adopted  by  the  quarterly  conference 
under  date  of  December,  1912,  in  accordance  with  the  provisions 
of  Section  45,  paragraph  12  of  the  Insanity  Law. 

GENERAL  ORDER  No.  21  STATE  HOSPITALS 

Vaccination  of  patients  and  employees 

1.  Hospital  superintendents  shall  arrange  for  the  vaccination 
of  all  new  admissions  of  patients  and  of  new  employees  as  soon 
as  practicable  after  they  enter  the  institution. 

2.  All  patients  and  employees  must  be  vaccinated  who  have 
not  been  vaccinated  successfully  within  fwe  years  and  who  do  not 
show  a  distinct  scar. 

3.  This  order  shall  not  be  interpreted  as  requiring  that  the 
operation  of  vaccinating  shall  be  performed  on  patients  whose 
physical  condition  will  not  warrant  its  being  done. 

GENERAL  ORDER  No.  22  STATE  HOSPITALS 

Inspection  of  institutions  by  resident  officers 

1.  In    order    to    secure    the    greatest    degree    of    order    and 
cleanliness    in    the    State    hospitals,    each    superintendent    shall 
establish  and  maintain  a  systematic  weekly  inspection  by  members 
of  his  medical  staff. 

2.  The     medical     officer     in     immediate     charge     of     each 
department  shall  make  a  weekly  inspection  of  his  department  and 
every   portion    thereof    including   dormitories,    day    room,    each 
patient's      and      attendant's      room,      corridors,      water-closets, 
bathrooms,    lavatories,    clothes-rooms,    stairways,    attics,    base- 
ments   and    all    other    accessory    rooms.       A    record    of    these 
inspections  shall  be  kept  in  a  book  provided  for  that  purpose  for 
the  information  of   the   superintendent  and  the   State  Hospital 
Commission. 

3.  The     superintendent     shall    arrange     for    the     systematic 
inspection,  at  least  weekly,  of  the  kitchens,  dining  rooms,  serving 
room,  storehouse,  meat  cutting  room,  bakery,  and  all  other  parts 
of   the  institution  used   for  storage,  preparation  or  serving  of 
food,    paying  particular   attention    to    cleanliness,    neatness   and 
avoidance  of  waste.    A  record  of  these  inspections  shall  be  kept 


RULES  AND  REGULATIONS  189 

in  a  book  provided  for  that  purpose  for  the  information  of  the 
superintendent  and  the  State  Hospital  Commission. 

GENERAL  ORDER  No.  23  STATE  HOSPITALS 

Duties  of  the  medical  inspector  in  relation  to  the  State  hospitals 

1.  The  medical  inspector  shall  make  quarterly  visits  to  the 
State  hospitals,  and  oftener  if  required  by  the  State  Hospital 
Commission. 

2.  The   scope   of   his   inspection   shall   include   the   following 
points : 

(a)  He    shall    see    all   patients    admitted   and   remaining 
since  the  last  medical  inspection,   and  preserve  a  list  of  their 
names,  and  in  the  case  of  voluntary  patients  determine  whether 
or  not  they  are  suitable  cases  for  voluntary  admission,  and  shall 
see  any  patients  desiring  an  interview.     In  his  tour  of  the  ward 
he  shall  go  among  the  old  patients,  with  a  view  of  aiding  in  the 
discharge  of  aliens,  dotards,  hemiplegics,  idiots,  and  other  cases 
unsuitable  for  detention  in  the  hospital. 

(b)  He    shall   ascertain   the   character    and   amount    of 
restraint  employed,   if   any,   and  reasons  for  its  use,  and  shall 
note  the  extent  of  the  use  of  seclusion! 

(c)  He  shall  visit  all  parts  of  the  premises,  all  wards, 
rooms,    dormitories,    closets,   attics,    basements,   kitchens,   dining 
rooms,  stables,  and  outhouses  at  least  once  a  year,  and  shall  note 
the  efficiency  of  provisions  for  fire  prevention  and  the  adequacy 
of  the  fire  escapes. 

(d)  He    shall    examine    into    the    general    condition    of 
buildings,    furnishings,    grounds    and    plumbing,    ascertain    the 
sufficiency  and  quality  of  clothing  and  bedding,  and  from  time  to 
time    report    upon    the    food    supply    and    dietaries,    and    the 
preparation  and  service  of  meals  to  patients. 

(e)  He    shall    at    each    visit    investigate    accidents    and 
injuries  to  patients  and  employees  reported  since  the  last  visit  to 
the  hospital,  and  make  such  other  investigations  and  perform 
such  other  duties  as  the  Commission  may  direct. 

(/)     He  shall   from  time  to  time  note  the  efficiency  of 
the  medical  work  of  the  hospital. 

(g)     He  shall  prepare  in  duplicate  a  report  of  each  visit, 

13 


190  RULES  AND  REGULATIONS 

one  copy  to  be  filed  in  the  office  of  the  Commission  and  one 
copy  in  the  office  of  the  institution  visited.  In  the  case  of  the 
institutions  for  the  criminal  insane  a  third  copy  of  the  report 
shall  be  prepared  for  submission  to  the  superintendent  of  prisons. 

GENERAL,  ORDER  No.  24  STATE  HOSPITALS 

Communicable  diseases 

All  cases  of  communicable  diseases,  listed  below,  occurring 
among  both  employees  and  patients  in  the  State  hospitals,  are  to 
be  reported  to  the  Commission  monthly  on  the  prescribed 
form,  (Form  37-s.  H.  c.)  Such  cases  are  also  to  be  reported  to 
the  local  health  officers  within  twenty-four  hours  from  the  time 
the  case  first  develops  or  is  admitted,  as  required  by  Regulation  3 
of  the  Sanitary  Code. 

A  severe  outbreak  or  epidemic  of  any  contagious  disease 
should  be  reported  immediately  to  the  Commission  and  to  the 
State  Department  of  Health. 

In  case  no  new  communicable  disease  occurs  in  any  month, 
such  fact  should  be  reported  to  the  Commission. 

The  following  diseases  are  specified  by  the  State  Department 
of  Health  as  communicable : 

Anthrax  Ophthalmia   neonatorum 

Chancroid  Para-typhoid  fever 

Chickenpox  Plague 

Cholera,  Asiatic  Pneumonia — a.  acute  lobar 

Diphtheria    (membranous  b.  bronchial  or 

croup)  lobtilar 

Dysentery,  amoebic  and  Poliomyelitis,   acute  anterior 

bacillary  Puerperal  septicemia 

Epidemic  cerebrospinal  Rabies 

meningitis  Scarlet  fever 

Epidemic  influenza  Smallpox 

Epidemic       or       streptococcus       Syphilis 

(septic)    sore  throat  Tetanus 

German  measles  Trachoma 

Glanders  Tuberculosis 

Gonorrhea  Typhoid   fever 

Measles  Typhus   fever 

Mumps  Whooping  cough 


RULES  AND  REGULATIONS  •    191 

GENERAL  ORDER  No.  25  ALL  INSTITUTIONS 

Information  to  be  given  patients  on  admission 

1.  All  persons  committed  to  an  institution  for  the  care, 
custody  or  treatment  of  the  insane  must  be  informed  by  a 
medical  officer  of  the  character  of  the  institution  and  the  cause 
of  detention  as  soon  after  admission  as  it  becomes  necessary  to 
detain  them  against  their  wish,  to  prevent  escape,  or  to  preserve 
discipline  and  enforce  obedience  to  regulations.  This 
information  may  be  communicated  before  such  emergency  has 
arisen,  if  deemed  advisable  in  the  opinion  of  the  physician  in 
charge. 

GENERAL  ORDER  No.  26  STATE  HOSPITALS 

Drug  addicts  not  insane 

1.  Drug  addicts   committed  under  the  provisions  of   Section 
438  of  Chapter  639  of  the  Laws  of  1918  are  not  to  be  received  in 
the  State  hospitals  for  the  insane. 

2.  Hospital  superintendents  will  explain  to  persons  interested 
the  reasons  for  such  actions,  viz. : 

(a)  The  great  overcrowding  prevailing  in  the  institutions 
and  the  necessity  of  making  provisions  for  new  cases  of  insanity 
constantly  being  admitted. 

(b)  The  inadequacy  of  the   funds  appropriated  for  the 
care  of  the  insane  and  the  ruling  of  the  Comptroller  that  funds 
appropriated  for  the  care  and  maintenance  of  the  insane  can  not 
be  used  for  the  care  and  maintenance  of  drug  addicts  not  insane. 

(c)  The      failure-    of      the      legislaure      to      make      an 
appropriation  to  carry  out  the  provisions  of  this  law. 

3.  Hospital  superintendents  should  advise  officials  and  others 
interested  that  drug  addicts  committed  under  this  law  may  be 
sent  to  any  private  institution  licensed  by  this  department  or  to  a 
city  or  county  hospital  in  the  event  the  expense  of  hospital  care 
and    treatment    may    be    made    a    town    or    county    charge    in 
accordance  with  Section  30  of  the  Poor  Law. 

GENERAL  ORDER  No.  29  STATE  HOSPITALS 

Milk  specifications 

The  following  shall  be  incorporated  in  all  specifications  asking 
for  bids  and  in  all  contracts  for  the  purchase  of  fluid  milk  for 
use  in  the  State  hospitals  for  the  insane : 


192    .  RULES  AND  REGULATIONS 

1.  All  cows  from  which  milk  is  produced  shall  be  healthy  and 
show    no    physical    signs    of    disease.     They   must   be    fed    only 
wholesome  food  and  pure  water.     The  cow  stables  must  be  kept 
in  a  sanitary  condition. 

2.  The   barn   yard   must   be   well   drained   and   clean.     Pails, 
cans   and   other   utensils   used   shall   be   in   good   condition   and 
thoroughly  cleaned  after  each  using.     The  milking  must  be  done 
in  a  cleanly  manner. 

3.  Milk  shall  be  removed  immediately  from  the  stable  to  a 
milk    house    used    for    that    purpose    only,    and    cooled    to    a 
temperature  not  to  exceed  50  degrees  Fahrenheit,  and  held  at 
that   temperature   until   delivered  at   the   institution   in   a   fresh 
condition,  once  or  twice  daily  as  required. 

4.  All   milk  purchased  and  all  methods  of   milk  production 
shall  conform  to  the  standards  established  by  the  laws  of  the 
State  of  New  York. 

GENERAL  ORDER  No.  30  STATE  HOSPITALS 

Information  to  be  sent  to  Bureau  of  Deportation 

1.  The  State  hospitals  will  supply  the  Bureau  of  Deportation 
with  the  following  data: 

(a)  Name,  age,  nativity,  citizenship,  etc.,  of  all  alien  and 
non-resident  patients  admitted  to  the  institutions.     (Form  133- 
Adm.) 

(b)  A  statement  as  to  whether  the  alien  or  non-resident 
is  able  to   travel  accompanied  or  unaccompanied  to  his  home 
without  danger  to  himself  or  others. 

(c)  A  copy  of  the  monthly  admission  list,  which  is  sent 
to  the  Commission's  office  in  triplicate. 

2.  Hospital  officials  will  see  that  patients   discharged  to  the 
Bureau   of   Deportation    for   removal   to   their   homes   in   other 
States  or  countries  are  furnished  with  the  following: 

(a)  A  neat  suit  of  clothing,  including  hat,  a  change  of 
underwear,  a  comb,  brush,  soap  and  towel,  and  a  small  dress 
suit  case  to  contain  personal  effects. 

(b)  Such  sums  of  money,  from  $10  to  $25,  as  may  be 
deemed  necessary  by  the  superintendent  and  the  bureau  to  meet 


RULES  AND  REGULATIONS  193 

the  incidental  expenses  enroute.  Where  patients  are  not 
themselves  possessed  of  sufficient  means  to  meet  such  incidental 
expenses,  superintendents  shall  advance  sums  within  the  limits 
named,  to  be  charged  against  the  maintenance  fund  of  the 
hospital. 

3.  Hospital  nurses  and  attendants  may  be  detailed  to  duty 
with  the  Bureau  of  Deportation  to  assist  in  the  removal  of  alien 
and  non-resident  patients  to  their  homes  under  arrangements  to 
be  made  by  the  bureau  and  the  superintendent  in  each  case. 

GENERAL,  ORDER  No.  31  STATE  HOSPITALS 

Report  of  discharged  patients 

1.  At  the  close  of  each  month  hospitals  will  send  to  the  office 
of  the  Commission  a  report  giving  the  name,  identification 
number  and  condition  of  each  patient  discharged  during  the 
month.  This  list  is  supplemental  to  the  regular  discharged  blank 
submitted  for  each  patient. 

GENERAL  ORDER  No.  32  STATE  HOSPITALS 

Uniforms  for  State  hospital  nurses  and  other  employees 

Uniforms  to  be  worn  by  State  hospital  employees,  while  on 
duty,  shall  be  as  follows : 

For  pupil  nurses :  A  uniform  one-piece  dress  of  Toile  du 
Nord. 

Waist. — Shirtwaist  with  plain  back  and  a  few  gathers  at  the 
waistline ;  Gibson  plait  one  inch  deep  in  front  and  over  the  arm's 
eye ;  one  and  one-half  inch  plait  down  front ;  five  pearl  buttons ; 
sleeve  with  packet  to  elbow,  closed  with  four  pearl  buttons; 
wrist  band  with  two  button  holes  to  be  fastened  with  stud;  neck 
band  one-half  inch  deep  with  two  button  holes  in  front  and  one 
in  back  for  collar.  Buttons  for  front  of  waist  and  sleeves  to  be 
uniform  and  of  medium  size. 

Skirt. — Front  and  sides  gored ;  back  to  be  gathered ;  four-inch 
hem ;  three  one-inch  tucks  immediately  above  the  hem,  to  allow 
for  shrinkage;  to  be  buttoned  in  direct  line  with  the  front  of 
the  waist,  with  two  buttons  below  the  belt;  to  be  sewed  to 
waistline  with  band  one  inch  wide;  a  patch  pocket  five  inches 
square  in  the  right  front  breadth:  the  length  to  reach  within 
five  to  eight  inches  of  the  floor. 


i94  RULES  AND  REGULATIONS 

Apron. — To  be  made  of  cotton,  two  breadths  wide,  gored  to  fit 
smoothly  to  the  figure;  four-inch  hem  at  the  bottom;  two-inch 
band  when. finished;  two  button  holes  arrd  buttons  same  size  as 
on  waist;  one-inch  hem  on  sides  of  apron;  length  to  reach 
within  one  inch  from  bottom  of  skirt. 

Bib. — Made  of  apron  material ;  to  cover  the  entire  front  of  the 
waist ;  with  white  straps  reaching  over  the  shoulders  and  fastened 
to  the  uniform  at  the  waistline  with  two  buttons  and  button 
holes ;  front  of  bib  at  the  waist  to  be  fitted  to  conform  to  figure, 
bib  to  be  faced  with  one  inch  wide  strap. 

Cap. — To  be  washable  white  cotton  four  quarters  bleach, 
shape  ,Normandy,  flat — like  pattern  submitted. 

Collar. — Circular  shaped  bishop  collar;  height  to  suit  wearer. 
Collar  for  summer  wear :  Corliss  $-7239  or  similar. 

Cuffs. — To  be  made  of  apron  material ;  to  reach  to  the  elbow, 
with  one-inch  hem ;  to  be  worn  outside  of  sleeve  and  fastened  to 
top  button  of  sleeve. 

Graduate  Nurse:  A  uniform  of  white  Indian  Head  linen  or 
twilled  cotton ;  material  to  be  shrunk  before  making.  Pattern 
similar  to  army  nurse  uniform;  buttons  detachable,  pearl  cuff 
links.  Cap  same  as  pupil  nurse. 

Charge  Nurse. — Uniform  same  as  graduate  nurse  with  one 
quarter-inch  black  band  on  cap. 

Supervisor. — Uniform  same  as  graduate  nurse  with  two 
quarter-inch  black  bands  on  cap  if  a  nurse ;  if  not  a  nurse  no  cap. 

Attendants. — A  uniform  one  piece  dress  of  Toile  du  Nord, 
same  as  that  prescribed  for  pupil  nurses.  Apron  may  be  gored 
or  gathered,  as  the  superintendent  directs.  No  bib.  Starched 
cuffs  three  inches  wide,  same  as  now  in  use.  Collar  the  same  as 
for  pupil  nurses.  Cap  the  same  as  pupil  nurse  with  one  blue 
band  one-half  inch  wide.  Charge  attendants  to  wear  two  blue 
bands  on  cap  three-eighths  inch  wide  when  finished. 

Waitresses,  Chambermaids,  Laundresses. — And  all  other 
women  employees  below  the  grade  of  housekeeper,  shall  wear 
the  attendants'  uniform  with  exception  of  cap. 

With  all  uniforms  common  sense  shoes  with  medium  heel 
shall  be  worn. 


RULES  AND  REGULATIONS  195 

\ursqs  and  Attendants  (Men). — Uniform — blue  serge,  of  the 
style  now  in  use  with  turnover  collar;  five  brass  buttons  down 
the  front ;  two  small  brass  buttons  on  cuffs ;  a  plain  standing 
collar  and  four-in-hand  tie. 

Cap. — For  winter,  men  to  wear  the  blue  cap  now  in  use;  for 
summer,  a  brown  or  drab 'helmet,  or  white  linen  cap — to  be 
optional  with  each  hospital. 

Attendants  on  Sick  Wards. — A  white  cotton  or  linen  coat, 
with  turnover  collar,  fastened  in  front  with  five  detachable  white 
buttons ;  white  duck  trousers ;  white  duck  shoes. 

Charge  Attendants. — Same  uniform  as  attendant,  with  a  single 
chevron  on  left  lower  sleeve,  of  green  material  similar  to  that 
now  in  use. 

Supervisor. — Same  uniform  as  attendant,  with  a  double 
chevron  on  left  lower  sleeve,  of  green  material  similar  to  that 
now  in  use. 

Plain  black  shoes  to  be  worn  with  all  uniforms. 

GENERAL  ORDER  No.  33  STATE  HOSPITALS 

Security  required  for  maintenance  of  patients  admitted  under 
special  agreement 

1.  In   accordance   with   the   provisions   of    Section   89   of   the 
Insanity  Law  as  amended  by  Chapter  568  of  the  Laws  of  1918, 
the  payment  for  maintenance  of  patients  admitted  under  special 
agreement   (private  patients)  in  State  hospitals,  when  not  made 
in  advance,  is  to  be  secured  by  a  "  surety  company  bond,  which 
shall  be  approved  by  the  Commission ;"  and  the  "  Commission 
shall  fix  the  rates  to  be  charged "  for  the  maintenance  of  such 
patients. 

2.  The  superintendent  in  each  case  should  recommend  a  rate 
for    maintenance    which    he    deems    equitable    and   proper,    and 
submit   it   to   the   Commission    for   approval,   or   revision,   after 
which    the    surety    company    bond    should    be    secured    by    the 
patient's     friends.       All     bonds     must     be     approved     by     the 
Commission  before  taking  effect. 

3.  The  Commission  has  prepared  bond  blanks  which  shall  be 
used    for   this   purpose,    and   all   bonds   must   be   filed   with    the 
collection  attorney  in  the  Commission's  office. 


196  RULES  AND  REGULATIONS 


ORDER  No.  34  ALL  INSTITUTIONS 

Mechanical  restraint  and  seclusion 

1.  Mechanical  restraint  or  seclusion  is  to  be  employed  only 
for   satisfactory   surgical   or   medical   reasons,   or   to  prevent  a 
patient  from  injuring  himself  or  others. 

2.  Mechanical  restraint  or  seclusion  shall  be  employed  only 
on  the  signed  order  of  a  physician,  setting  forth  the  reasons  for 
its   use;    and  a  physician   shall   always   be  present  at  the  first 
application  of  restraint.     A  full  record  shall  be  kept  from  day 
to  day,  and  a  copy  of  each  record  sent  to  the  Commission  at  the 
end  of  each  quarter.     The  above  order  and  record  shall  be  in 
the  form  prescribed  by  the  Commission.     (Form  102-Med.) 

3.  By  "  mechanical  restraint  "  is  meant  the  use  of 

(a)  safety  sheet; 

(b)  camisole; 

(c)  sheets  or  towels  for  fastening  to  the  chair  or  bed. 
No    other    appliances    or    apparatus    for    restraint    than    those 

mentioned  are  permitted. 

4.  The  maximum  period  in  the  day  time  during  which  the 
patient  may  be  continuously  kept  in  restraint  shall  be  two   (2) 
hours,  and  such  patient  shall  be  visited  at  least  every  hour. 

5.  By  "  seclusion  "  is  meant  confinement  of  the  patient  alone 
in  a  room,  with  a  locked  door.     Every  patient  in  "  seclusion  '* 
shall  be  visited  at  least  every  hour  during  the  day. 

6.  The  maximum  period  of  continuous  "  seclusion  "  shall  not 
exceed  three  (3)  hours  in  the  day  time. 

STATE    HOSPITALS,    COMMISSION'S 

GENERAL  ORDER  No.  35 


Service  records  of  officers  and  employees 

Pursuant  to  the  requirements  of  Chapter  653,  Laws  of  1917, 
and  of  the  Civil  Service  Rules  and  Regulations  prescribed  by  the 
Civil  Service  Commission  February  28,  1918,  and  approved  by 
the  Governor  June  28,  1918,  this  Commission  has  established  a 
system  of  service  records  and  ratings  for  use  in  the  State 
hospitals  and  in  the  general  administrative  bureaus  of  the 
Commission,  including  the  Bureau  of  Deportation,  the 
Psychiatric  Institute  and  the  Purchasing  Committee.  Hereafter, 


RULES  AND  REGULATIONS  197 

the  superintendent  of  each  State  hospital  and  the  head  of  each 
of  the  several  bureaus  of  the  State  Hospital  Department  shall 
rate  the  efficiency  of  those  employed  under  him  in  the  competitive 
class,  excepting  physicians,  and  report  the  ratings  on  Form 
43-s.  H.  c.  to  the  Commission  on  November  1,  March  1,  and 
July  1,  of  each  year.  The  rating  in  each  instance  is  to  cover  the 
•work  of  the  preceding  four  months. 

In  making  such  rating  for  efficiency  two  factors  are  to  be 
taken  into  consideration,  namely,  time  and  capacity,  the  latter  to 
include  quality  and  quantity  of  work  which  are  to  be  rated 
separately.  In  determining  the  final  rating,  time  is  to  be  given  a 
weight  of  1  and  capacity  a  weight  of  4.  Under  the  provisions  of 
Civil  Service  Rule  3,  not  more  than  half  of  the  employees  can 
be  given  a  rating  for  capacity  above  87  per  cent. 

The  ratings  for  efficiency  thus  submitted  shall  be  reviewed  by 
a  personnel  board  in  the  office  of  the  Commission  and  submitted 
by  such  board  to  the  Commission.  When  the  final  marks  are 
determined  and  approved  by  the  Commission,  an  abstract 
therefrom  giving  the  ratings  of  the  employees  of  each  State 
hospital  and  bureau  shall  be  returned  for  posting  in  accordance 
with  the  requirements  of  the  Civil  Service  Rules. 

The  ratings  of  the  officers  and  employees  will  form  a 
permanent  record  in  the  office  of  the  State  Hospital  Commission 
on  Form  40-s.  H.  c.  and  will  be  reported  to  the  Civil  Service 
Commission,  and  used  by  such  Commission  in  determining  the 
eligibility  of  employees  for  promotion. 

Hospital  superintendents  shall  arrange  to  keep  at  the  hospital 
a  record  for  each  officer  and  employee  which  shall  show  the 
following:  (Form  33-Std.) 

(a)  Name. 

(b)  Date  of  entering  service. 

(c)  Position  to  which  appointed,  with  salary  or  wages, 
dates  of  promotion,  date  and  manner  of  leaving  service. 

(d)  A  record  of  all  absences,  showing  time  of  departure 
and  time  of  return  to  duty,  with  statement  as  to  whether  the 
absence  was  on  account  of  vacation  or  for  personal  reasons  or 
on  official  duty  for  the  hospital. 

2.  A  record  shall  also  be  kept  at  the  hospital  of  the  efficiency 
of  each  employee.  This  record  shall  be  kept  in  accordance  with 


198  RULES  AND  REGULATIONS 

a  scheme  to  be  outlined  by  the  superintendent  and  shall  be 
accessible  only  to  the  Commission,  the  managers,  the 
superintendent  and  such  officers  of  his  staff  as  he  may  designate. 

GENERAL  ORDER  No.  36  ALL  IN  STITUTIONS 

Discharge  of  employees  to  be  reported  to  the  Commission 

1.  The  superintendent  or  physician  in  charge  of  each 
institution  for  the  insane  shall,  upon  dismissal  of  any  officer  or 
employee,  report  promptly  to  the  Commission  the  following: 

(a)  Name  of  person  removed  from  the  service. 

(b)  Position  held. 

(r).     Reason  for  discharge. 

GENERAL  ORDER  No.  42  STATE  HOSPITALS 

Duties  of  purchasing  committee 

In  accordance  with  statutory  provisions  the  Purchasing 
Committee  shall,  with  the  Commission's  approval,  determine 
what  articles  of  supplies  it  is  practicable  and  advantageous  to 
purchase  by  joint  contracts  for  the  State  hospitals. 

The  Purchasing  Committee  shall  draw  specifications  and  enter 
into  contracts  for  the  supplies  to  be  thus  purchased. 

They  shall  have  samples  of  supplies  tested  chemically  or 
otherwise  for  the  purpose  of  determining  their  quality. 

Such  necessary  clerical  and  advisory  help  as  may.  be  required 
for  this  branch  will  be  furnished  by  the  State  Hospital 
Commission. 

GENERAL  ORDER  No.  43  STATE  HOSPITALS 

Records  to  be  kept  by  State  Hospitals 

The  following  lists  of  records  are  authorized  for  use  in  the 
State  hospitals : 

ADMINISTRATION  RECORDS 

Titles  and  Form  Numbers 
Record  of  library  books  loaned  (20  Adm.) 
Employees'  agreements  (24  Adm.) 
Ward  laundry  lists  (32-33  Adm.) 
Leaves  of  absence  (35  Adm.) 
Record  of  visitors   (39  Adm.) 


RULES  AND  REGULATIONS  199 

Alphabetical  lists  of  patients  by  wards  (46  Adm.) 
Night  watchman's  clock  record  (47  Adm.) 
Mortuary  record  and  order  (55  Adm.) 
Record  of  death  (57  Adm.) 
Employees'  card  record  (65  Adm.) 

Application  for  leave  of  absence  without  pay  (67  Adm.) 
Laundry  lists  of  staff  (71  Adm.) 
Clothing  list  of  patients  (72  Adm.) 
Admission  record  of  voluntary  patients  (74  Adm.) 
Civil  service  application  papers  and  examinations  (80  Adm.) 
Daily  census  record  (81,  82,  83  Adm.) 
Monthly  return  of  patients   (84  Adm.) 
Index  card  record  paroles  (86  Adm.) 
Reports  of  night  watchman  (91  Adm.) 
Daily  census  book  (100  Adm.) 
Parole  book  (104  Adm.) 
Monthly  movement  of  patients  (103  Adm.) 
Record  book  of  admissions  (105,  106  Adm.) 
Record    book    of    commitments,    discharges    and    deaths    (107 
Adm.) 

Ward  capacity  record  (110  Adm.) 

Reports  of  board  of  managers  (111  Adm.) 

Census  book  (115  Adm.) 

Summaries  of  monthly  time  reports  (117  Adm.) 

Ward  employees'  time  record  (118  Adm.) 

Inventories  (122  Adm.) 

Application  papers  (123  Adm.) 

Monthly  time  record  of  employees  (125  Adm.) 

Card  record  of  patients'  private  clothing  (132  Adm.) 

Hospital  reports  of  alleged  alien  or  non-resident   (133  Adm.) 

MEDICAL  RECORDS 
Titles  and  Form  Numbers 
Record  of  patients  upon  admission  (1  Med.) 
History  of  patients  (17  Med.) 
Card  record  of  physical  diseases  (21  Med.) 
Record  of  statistical  data  pertaining  to  admissions  (22  Med.) 
Record  of  statistical  data  pertaining  to  discharges  and  deaths 
(23  Med.) 


x>  RULES  AND  REGULATIONS 

Ward  admission  record  (24  Med.) 

Ward  notes  (25  Med.) 

Temperature  charts  (26  Med.) 

Monthly  record  of  pupil  nurses  (29  Med.) 

Record  of  pupil  nurses,  junior  year  (30  Med.) 

Record  of  pupil  nurses,  senior  year  (31  Med.) 

Record  of  physical  examinations  (34  Med.) 

Clinical  record  of  examination  of  eyes  (35  Med.) 

Gynecological  charts  (36  Med.) 

Card  record  of  patients  on  ward  (37  and  38  Med.) 

Voluntary  applications  (41  Med.) 

Record  of  blood  examinations  (42  Med.) 

Record  of  hydrotherapeutic  treatments    (43  Med.) 

Dentist's  daily  record  (45  Med.) 

Card  record  of  patients  admitted  (46  or  55  Med.) 

Detailed  monthly  report  of  patients  on  ward  (47  Med.) 

Card  record  of  paroles  (50  or  51  Med.) 

Attendant's  daily  report  (58  Med.) 

Night  attendant's  report  (59  Med.) 

Supervisor's  daily  report  (60  and  61  Med.) 

Physician's  daily  report  (62  and  63  Med.) 

Prescription  record  (89  Med.) 

Laboratory  examination  of  urine  (100  Med.) 

Daily  restraint  and  seclusion  record  (102  Med.) 

Autopsy  record  (103  and  104  Med.) 

STEWARD'S  RECORDS 
Titles  and  Form  Numbers 
Quarterly  estimates   (2,  3,  4  Std.) 
Estimates  for  extraordinary  improvements   (5  Std.) 
Order  blanks  (10,  11,  12,  13  Std.) 
Record  of  goods  received  (15  Std.) 
Record  of  outgoing  shipments  (16  Std.) 
Vouchers  (18,  19,  20  Std.) 

Requisition  on  storekeeper  for  merchandise  (22  Std.) 
Requisition  on  storekeeper  for  clothing  (23  Std.) 
.Exchange  requisitions  (24  Std.) 
Repair  orders  (25  Std.) 
Daily  summary  of  requisitions   (26  Std.) 


RULES  AND  REGULATIONS  201 

Weekly  summary  of  requisitions  (27  Std.) 
Merchandise  ledger  (28  Std.) 
Record  of  work  in  process  (29  Std.) 
Foreman's  receipt   (30  Std.) 
Daily  record  of  articles  produced  (31  Std.) 
Employees'  record  card  (33  Std.) 
Employees'  salary  vouchers  (34,  36,  36,  37  Std.) 
Record  of  charges — patients  accounts  (42  Std.) 
Cash  book  (43  Std.) 
Reimbursing  patients'  ledger  (44  Std.) 

Report  of  receipts  from  reimbursing  patients  (46,  47  Std.) 
Report  of  moneys  received  by  steward  (48  Std.) 
Steward's    report    of    refunds   and   sale   of   uniform   material 
(49  Std.) 

Voucher  register  (50  Std.) 
Record  of  garden  produce   (52  Std.) 
Consumption  of  farm  products  (53,  54,  55  Std.) 
Farm  accounting,  debit  sheet  (56  Std.) 
Farm  accounting,  credit  sheet  (57  Std.) 
Register  of  farm  accounts  (58  Std.) 
Meat  cutters  daily  report  (61  Std.) 
Daily  report  of  bakery  (62  Std.) 
Mechanics'  daily  employment  record  (63  Std.) 
Farm  accounting,  daily  time  report  (64  Std.) 
Farm  accounting,  time  summary  for  month  (65  Std.) 
Cook's  daily  report  (66  Std.) 
Record  of  patient's  property  (67  Std.) 
Engineer's  report  (69  Std.) 

Report  of  waste  and  usable  food  returned  from  dining  room 
and  kitchen  (71  Std.) 

Steward's  receipt  of  articles  delivered  to  relatives  of  patient 
.(73  Std.) 

Receipt  forms  for  cash  deposited  for  patients  (74  Std.) 

Storekeeper's  report  of  merchandise  received  (78  Std.) 

Steward's  "Quotation  Sheet"  (79  Std.) 

Receipts    and    disbursements    of    manufacturing    department 
(83  Std.) 

Report  of  manufacturing  department  (84  Std.) 

Record  of  incoming  private  packages  (88  Std.) 


202  RULES  AND  REGULATIONS 

Report  of  reimbursing  and  private  'patients  (89  Std.) 
Weekly  milk  record  (91  Std.) 
Yearly  milk  record  by  months  (92  Std.) 
Retirement  card  (94  Std.) 
Weekly  dietary  (95  Std.) 
Proposal  for  furnishing  supplies  (96  Std.) 
Record  of  sales  for  patients  re-education  fund  (97  Std.) 
Patients'  fund  ledger  (98  Std.) 
Dynamo  station  report  (99  Std.) 

Farm  accounting  and  monthly  summary  of  credits  from  daily 
reports  (101  Std.) 

Electric  light  station,  daily  report  (103  or  104  Std.) 
Coal  analysis  (106  Std.) 

GENERAL,  ORDER  No.  44  STATE  HOSPITALS 

Reports  to  be  submitted  by  State  hospitals 

1.  An  annual  report  of  the  operations  of  the  hospital  in  the 
form  prescribed  by  the  Commission  shall  be  submitted  at  the 
close  of  each  year. 

2.  Statistical  data  cards  of  admissions,  discharges  and  deaths 
shall  be  forwarded  monthly  to  the  statistician  of  tfre  Commission. 
Such  cards  shall  be  prepared  in  accordance  with  the  directions 
given   in   the    "  Statistical    Guide "    issued   by   the    Commission. 
(General  Order  No.  6.) 

3.  A  morithly  report  of   the   movement  of  patients  shall  be 
submitted  to  the  Commission  within  ten  days  after  the  close  of 
each  month.     (Form  103  Adm.)      (General  Order  No.  6.) 

4.  A   yearly   report   of    the   movement   of    patients    shall   be 
submitted  to  the  Commission  within  twenty  days  after  the  close 
of  the  fiscal  year.     (Form  4  s.  H.  c.)      (General  Order  No.  6.) 

5.  Each  hospital  shall  submit  classified  estimates  in  detail  of 
the  expenditures   required   for  the  quarterly  periods  beginning' 
October  1,  January  1,  April  1,  and  July  1  of  each  year.     Forms 
2,  3  and  4  Std.)     Such  estimates  shall  be  submitted  at  least  one 
month  prior    to  the  day  on  which  they  are  to  become  effective. 
(General  Order  No.  7.) 

6.  Special   funds   estimates   for  additions  and  improvements 
other  than  those  paid  for  from  maintenance  appropriations  shall 


RULES  AND  REGULATIONS  203 

be  submitted  and  approved  before  work  thereon  is  undertaken. 
(Form  5  Std.)      (General  Order  No.  7.) 

7.  An  inventory  of  all  maintenance  supplies  on  hand  at  the 
close  of  the  fiscal  year  shall  be  submitted  to  the  auditor  of  the 
Commission  within  twenty  days  thereafter.     (Form  122  Adm.) 
(General  Order  No.  7.) 

8.  An  annual   farm  census   report   for  the  calendar  year  as 
outlined  ,in   form   supplied  by  the   Department   of   Agriculture 
shall  be  submitted  to  the  auditor  of  the  Commission  as  soon 
after  December  31  as  possible.     (General  Order  No.  7.) 

9.  A  monthly  report  of  hospital  population  including  officers, 
employees,  and  patients  shall  be  submitted  to  the  auditor  of  the 
Commission  not  later  than  the  fifth  of  the  succeeding  month. 
(Form  26  Adm.)      (General  Order  No.  7.) 

10.  A  report  of  the  quarterly  consumption  of  farm  products 
shall  be  submitted  to  the  auditor  of  the  Commission  not  later 
than  the  tenth  of  each  month  following  the  close  of  the  quarterly 
period    covered.      (Forms    53    and    54    Std.)      (General    Order 
No.  7.) 

11.  Steward's  monthly  reports  of  receipts  shall  be  submitted 
to  the  treasurer  of  the  Commission  on  the  third  of  each  month. 
(Form  46  Std.)      (General  Order  No.  8.) 

12.  Steward's  monthly  reports  of  payrolls  shall  be  submitted 
to  the  treasurer  of  the  Commission  not  later  than  the  fifth  of 
each  month.     (Form  47  Std.)      (General  Order  No.  8.) 

13.  A  report  of  the  service  of  legal  papers  on  patients  together 
with  a  copy  of  such  papers  shall  be  reported  to  the  collection 
attorney    of    the    Commission    immediately    after    such    service. 
(General  Order  No.  9.) 

14.  A   report  of   all  patients  whose  accounts  are  delinquent 
shall  be  submitted  to  the  collection  attorney  of  the  Commission 
at  the  end  of  each  month.     (General  Order  No.  9.) 

15.  Accidents,    injuries    and    escapes    shall    be    reported    in 
duplicate  to  the  Commission  immediately  after  their  occurrence. 
(Form  159  Adm.)      (General  Order  No.  12.) 

16.  Absences     of     superintendents     from     the     hospital     of 
twenty-four  hours  or  more  shall  be  reported  immediately  upon 
their  return.     (General  Order  No.  20.) 


204  RULES  AND  REGULATIONS 

17.  A    report    of^   all    new    cases    of    communicable    disease 
occurring  in  the  hospital  during  the  month  shall  be  submitted 
to  the  Commission  at  the  close  of  each  month.    (Form  37  s.  H.  c.) 
(General  Order  No.  24.) 

18.  A   report   giving   data   concerning  alien  and  nonresident 
patients    shall    be    submitted    to    the    Bureau    of    Deportation 
promptly    after    the    admission    of    such   patients.     (Form    133- 
Adm.)      (General  Order  No.  30.) 

19.  A  list  of  the  patients  admitted  each  month  shall  be  sent  in 
triplicate   to   the   Commission   and  one   copy   to   the  Bureau  ot 
Deportation,    at    the    close    of    the    month.      (Form    45-Adm.) 
(General  Order  No.  30.) 

20.  A  list  of  all  patients  discharged  during  each  month  shall 
be   submitted   to    the    Commission   at    the   close   of    the   month. 
(General  Order  No.  31.) 

21.  A  quarterly  report  of  all  cases  of  restraint  and  seclusion 
shall  be  submitted  to  the  Commission  at  the  end  of  each  quarter. 
(Form  102-Med.)      (General  Order  No.  34.) 

22.  The  discharge  of  any  officer  or  employee  shall  be  reported 
promptly  to  the  Commission.     (General  Order  No.  36.) 

23.  General  statistical  repofts  of  the  finances  and  operations 
of  the  hospitals  shall  be  submitted  at  the  close  of  each  fiscal 
year  on  blanks  to  be  furnished  by  the  Commission. 

24.  Each  hospital  shall  report  to  the  Purchasing  Committee 
the  estimated  quantity  of  certain  supplies  required  for  the  period 
covered  by  the  contract  to  be  made  by  such  committee.     (Form 
19  s.  H.  c.) 

25.  Each  hospital  shall  report  to  the  Purchasing  Committee 
the  completion  of  every  contract  entered  into  by  the  committee, 
together  with  a  statement  concerning  the  manner  in  which  the 
contract  has  been  fulfilled. 

26.  Each  hospital  shall  report  to  the  Purchasing  Committee 
every  failure  on  the  part  of  a  contractor  to  fulfill  an  agreement 
entered  into  with  such  committee. 

27.  A    monthly    report    of    the   activities    of    the    out-patient 
department     of     each     hospital     shall     be     submitted     to     the 
Commission  at  the  close  of  each  month.     (Form  50  s.  H.  c.) 
(General  Order  No.  45.) 

28.  A  copy  of  the  monthly  report  of  the  social  worker  of 


RULES  AND  REGULATIONS  205 

each  hospital  shall  be  submitted  to  the  Commission  at  the  close 
of  each  month.     (Form  51  s.  H.  c.)      (General  Order  No.  46.) 

29.  A  copy  of  the  weekly  report  of  the  chief  engineer  shall 
be    submitted    to    the    Commission    at    the    end    of    each    week. 
(Form  121-Std.)      (General  Order  No.  47.) 

30.  A  report  of  the  service  ratings  of  the  employees  in  the 
competitive    class    in    each    hospital    shall    be    submitted    to    the 
Commission    at    the    close    of    the    four-month    periods    ending 
October  31,  February  28,  and  June  30  of  each  year.     (Form  43 
S.  H.  c.)      (General  Order  No.  48.) 

GENERAI,  ORDER  No.  45  STATE  HOSPITALS 

Out-patient  departments 

The  superintendent  of  every  State  hospital  maintaining  an 
out-patient  department  shall  cause  adequate  records  to  be  kept 
of  the  activities  of  such  department,  and  shall  submit  a  monthly 
report  thereof  to  the  Commission  on  Form  50  s.  H.  c.,  giving 
the  date  and  place  of  each  clinic  held,  and  information  concerning 
visitors,  purpose  of  visits,  and  other  matters  as  outlined  by  such 
form. 

GENERAL,  ORDER  No.  46  STATE  HOSPITALS 

Reports  of  social  workers 

The  superintendent  of  every  State  hospital  employing  a  social 
worker  shall  require  her  to  make  a  report  at  the  end  of  each 
month  on  Form  51  s.  H.  c.,  giving  a  summary  of  her  activities 
during  the  month,  as  follows : 
Visits  to  paroled  patients. 
Visits  to  other  patients  outside  hospital. 
Other  visits  on  behalf  of  patients.' 
Visits  on  behalf  of  preventive  cases. 
Situations  obtained  for  patients. 
Situations  obtained  for  preventive  cases. 
Clinics  attended. 
Persons  interviewed  at  office. 
Other  work. 

Agencies  to  whom  cases  have  been  referred  during  month. 
Other  items  as  may  be  required  by  the  superintendent  or 

Commission. 
14 


206  RULES  AND  REGULATIONS 

Such  report  shall  be  made  in  duplicate ;  one  copy  shall  be  sent 
to  the  State  Hospital  Commission,  and  one  copy  kept  on  file  in 
the  office  of  the  hospital. 

GENERAL,  ORDER  No.  47  STATE  HOSPITALS 

Reports  of  chief  engineers 

The  superintendent  of  every  State  hospital  shall  cause  adequate 
records  to  be  made  concerning  the  operations  of  the  healing 
plant,  cold  storage  plant  and  electric  light  plant  of  the  hospital 
and  shall  require  the  engineer  in  charge  thereof  to  prepare  in 
duplicate  a  weekly  report  of  the  operations  of  such  plants,  on 
Form  121-Std.  One  copy  of  such  report  shall  be  sent  to  the 
Commission  and  the  other  kept  on  file  in  the  office  of  the  hospital. 

GENERAL  ORDER  No.  49  STATE  HOSPITALS 

Business  and  correspondence  with  other  State  Departments 

The  official  business  of  the  State  hospitals  with  other  State 
departments  is  to  be  conducted  with  the  full  knowledge  and 
approval  of  the  Commission.  Correspondence  relating  to  such 
business  is  to  be  conducted  through  the  Commission's  office. 
This  order  does  not  refer  to  routine  reports  required  of  the 
State  hospitals  by  any  State  department. 


FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE 
HOSPITALS 

ADMINISTRATION 

Form  No.  .  Title 

1  Adm. 

2  "  Certified  information  as   to  patient,   single  sheet. 

3  "  Certified  information   as   to   patient,   bound  with   stub. 

4  "  Pass  to  employees   (Man.)   Emp.   Steamer  pass  (Supt.> 

5  "  Pass  to   employees    (Man.)    night  boat,    (ferry)    pass    (Steward). 

6  "  Pass  to  employees   (Man.)   ferry  pass  Emp.    (Steward). 

7  "  Pass  to  employees    (Man.)   night  boat  ferry  Emp.    (Supt.) 

8  "  Pass  to  employees  (Man.)   night  boat  ferry  (Supt.) 

9  *'  Pass  to  employees   (Man.)   Emp.  ferry  pass   (Supt.) 

10  "  Permit  to  visit  by  steamer  (Supt.) 

11  "  Permit  to  visit  by  ferry    (Man.)    (Supt.) 

12  "  Permit  to  visit  by  ferry   (Man.)   brown  pass  ferry   (Supt.) 

13  "  Go  on  duty  slip. 

14  "  Ward  pass  visitor's  address. 

15  "  Pass  by  steamer  Nautilus,  in  pads, 

16  Indentification  card,  writing  or  visiting  (C.  I.) 

17  "  Visit  patient  at  once   (C.  I.)   sick  notice. 

18  "  Visit  patient  at  once   (K.  P.)   sick  notice. 

19  "  Visit  patient  at  o'nce   (Man.)   sick  notice. 

20  "  library  slip   (loan). 

21  "  Permit  to  visit. 

22  "  Permission  to   use  'phone. 

23  "  Superintendent's  memo. 

24  "  Employees'   agreement   sheet   8"xlO^". 

25  "       Superintendent's  order  for  steward  to  pay  services. 

26  "  Monthly  average  daily  population. 

27  "  Envelopes  No.  9,  detained  letters  of  patients. 

28  "  Notice  of  transfer  within  hospital. 

29  "  Application  for  special  pass. 

30  "       Order  for  patient  to  be  sent  to  office. 

31  "       Application  leave  of  absence,  in  book. 

32  "       Ward  laundry  list,  men. 

33  "       Ward  laundry  list,   women. 

34  "       Leave   of   absence  slip. 

35  "       L,eave  of  absence  card,  salmon. 

36  "       Visitor's  ward  pass   (Br.) 
36a  "       Visitor's  pass,  3  months. 

,    37       "       Visitor's  ward  pass    (H.   R.) 

38  "       Visitor's  ward  pass    (K.   P.) 

39  "       Visiting  record  card. 

40  "       Individual  laundry  books,   men. 

41  "       Individual  laundry  books,  women. 


2o8        FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS 

42-Adm.  Cards,   rule  for   visiting. 

43  "  Card  permit  to  visit   Sunday. 

44  "  Patients  admitted  during  month — private  institutions. 

45  "  Patients  admitted  during  month. 

46  "  Alphabetical  list  of  patients  in  wards. 

47  "  Night  watchman's  clock  record. 

48  "  Nativity  and  citizenship  card,  male  first  admission. 

49  "  Nativity  and  citizenship  card,   female  first  admission. 

50  "  Nativity  and  citizenship   card,   male  readmission. 

51  "  Nativity  and  citizenship   card,   female  readmission. 

52  "  Discharge  certificate. 

53  Social   worker's  card — paroles. 

54  Social  worker's,  information — paroles. 

55  "  Mortuary  record  and  order,  bound  with  stub. 

56  "  Application   for  commitment. 

57  "  Record  of  deaths,  bound  book. 

58  "  Pamphlets  of  rules  and  regulations,  cloth  bound. 

59  "  Extract  from  regulations. 

60  "  Extract  from  regulations,  5^4"  x  8"   (Man.) 

61  "  Letterhead  with  extract  from  regulations,  8".x  10  j£". 

62  "  Extracts  from  regulations  with  letter,  8"xlOJ^"   (K.  P.) 

63  "  Certificate  of  death. 

64  "  Certificate  of  discharge. 

65  "  Employment  card,  gray. 

66  "  Employees'  resignation  blank. 

67  "  Application  for  leave  of  absence  without  pay  (black  ink). 

68  "  Certificate  of  insanity  of  patient. 

69  "  Requests  for  vacations. 

70  "  Return  of  writ  of  habeas  corpus. 

71  "  Laundry  list,  staff. 

72  "  Patients'  clothing  list. 

73  "  Patients'  library  label. 

74  "  Notice  to  S.  H.   C.  of  admission  of  voluntary  patients 

75  "  Care  medicine  closet. 

76  "  Circular  of  information   (Utica). 

77  "  Rules  and  regulations,  officers  and  employees. 

78  "  Rules  and  regulations,  employees?  only. 

79  "  Don't  book. 

80  "  Application  blanks. 

81  "  Daily  census,  paper. 

82  "  Census  card,   daily. 

83  "  Census  slip,  7  P.  M. 

84  "  Monthly  return  of  patients. 

85  "  Bond  of  committee. 

86  "  Hospital  card — paroles. 

87  "  Notification  to  S.  H.   C.  of  transfer  of  patient. 

88  "  Memo,  by  superintendent. 

89  "  Manager's  letter  head. 


FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS        209 

90-Adm.  Superintendent's  letter  head. 

91  "  Report  of  night  watchman.     Return  of  employees. 

92  "  List  of  patients  examined  by  medical  inspector. 

93  "  Coffin  card. 

94  "  Telephone  message  blank. 

95  "  Notice  of  death,  letter  form. 

96  "  Letter  in  re  patient  in  need  of  clothing   (Bing.)    (blk.  ink.) 

97  "  Letter  in  re  patient  in  need  of  clothing   (Utica)    (copying  ink.) 

98  "  Measurement  for  clothing,  men,  in  pads. 

99  "  Measurement  for  clothing,  women,  in  pads. 

100  "  Daily  census  book,    7"xl5^". 

101  "  Station  memo. — (Central  Islip) — in  pads. 
102 

103  "  Report  of  movement  of  patients — monthly. 

104  "  Record  of  paroled  patients,  book. 

105  "  Record  book,   admission  and  discharges. 

106  "  Admission  book. 

107  "  Commitment,  death  and  discharge  book. 

108  "  Visitor's  card,  rules  on  back. 

109  "  Letters  to  friends  of  patients  leaving  hospital. 

110  "  Vttard  capacity  6"x9^"   (H.   R.) 

111  "  Report  of  Board  of  Managers. 

112  "  Service   of  legal   process. 

113  "  Bill   head,   traveling   expenses. 

114  "  Record  of   admission   book. 

115  "  Census  book,  men  and  women. 

116  "  Telephone  bulletin. 

117  "  Monthly  time  report — summary. 

118  "  Ward  employees  time  record. 

119  "  Application   for  transfer  of  patients. 

120  "  Slip  record  of  admissions. 

121  "  Slip  record  of  discharges. 

122  "  Inventory  blanks. 

123  "  Application  paper. 

124  "  Report  of  noncompetitive  examination. 

125  "  Monthly  time  record. 

126  "  Temporary  leave  of  absence. 

127  "  Report  of  discharge  to  Bureau  of  Deportation. 

128  "  Instructions  to  applicants. 

129  "  Letter  soliciting  gifts  for  Christmas. 

130  "  List  of  desirable  articles. 

131  "  Addressed  label  for  Christmas  packages. 

132  "  Card  for  list  of  patient's  private  clothing. 

133  "  Hospital  report  of  alleged  alien  or  nonresident. 

134  "  Receipt  for  library  books. 

135  "  Request   for  leave  of  absence. 

136  "  Monthly  class  record. 

137  "  Summary,   pupils   record. 


210        FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS 

138-Adm.     Letter  head,  Binghamton. 

139  Clothing  transfer,  men. 

140  Clothing  transfer,  women. 

141  Appointments,  removals,  etc. 

142  "       Assigned  to  duty. 

143  "       Resigned   or   discharged. 

144  Notice  to  steward  of  employment. 

145  Notice  to  steward  of  resignation. 

146  Acknowledgment  of  receipt  of  package. 

147  "        Reference  as  to  applicants. 

148  "       Permit  to  visit,  card,  one  person. 

150  "       Card — Patients'  clothing,  buff. 

151  "       Patients'  clothing  record  sheet. 

152  "       Night  Temp,  of  ward— St.  L. 

153  "       Circular  letter,  parole  patients. 

154  Certificate  of  military  service. 

155  Certificate  of  oath. 

156  Constitutional  oath. 

157  "       Superintendent's   memo,    pads — C.   I. 

158  Report  to  superintendent  of  accidents  and  injuries. 

159  Accident  and  injury  report  to   Commission.  • 

160  *'       Clothing  record  card — Utica. 

163  *•       Photographic   record,   8"  x  10*4". 

164  "       Bill  for  war  risk  patient. 


MEDICAL 

Form  No.  Title 

1-Med.  History  on  admission  by  examining  physician,  single  sheet,  blue. 

2  "  Notice  of  admission  to  relatives,  letter  form. 

3  "  Statistical  data  cards,  male,  white,  black  ink,  first  admission. 

4  "  Statistical  data  cards,  female,  white,  red  ink,  first  admission. 

5  "  Statistical  data  cards,  male,  buff,  readmission,  black  ink. 

6  "  Statistical  data  cards,   female,  buff,  readmission,  red  ink. 

7  "  Statistical  data  cards,  male,  salmon,  discharge,  black  ink. 

8  "  Statistical  data  cards,  female,  salmon,  discharge,  red  ink. 

9  "  Statistical  data  cards,   male,  gray,  transfer,  black  ink. 

10  "  Statistical  data  cards,  female,  gray,  transfer,  red  ink. 

11  "  Statistical  data  cards,  male,  blue,  death,  black  ink. 

12  "  Statistical  data  cards,  female,  blue,  death,  red  ink. 

13  "  Alcoholic    psychosis    data    cards,    male,    white,    first    admission, 

black  ink,  printed  on  back. 


.FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS        211 

14-Med.  Alcoholic    psychosis    data   cards,    female,    white,    first    admission, 

red  ink,  printed  on  back. 

15  Alcoholic    psychosis    data   cards,    buff,    readmission,    male,    black 

ink,  printed  on  back. 

10  Alcoholic   psychosis    data   cards,    buff,    readmission,    female,    red 

ink,  printed  on  back. 
History  sheet,  4  pages. 
Envelope  for  mailing  data  cards. 
Card  record  of  physical  diseases. 

"  Statistical  data  sheet,  white,  chart  on  back. 

"  Statistical  data  sheet,  blue,  chart  on  back. 

"  Ward  admission  record. 

"  Ward  notes,  red  ink. 

"  Temperature  chart,  green  ink. 

27  "  Circular   for  information   of  nurses. 

28  "  Training  school  calendar. 

29  "  Monthly  record  of  pupil  nurses. 

30  Yearly  record  of  pupil  nurses,  junior  year. 

31  "  Yearly  record  of  pupil  nurses,  senior  year. 

32  Training  school  certificate,  2  years. 

33  Training  school  certificate  on  training  school,  1  year. 

34  Physical  examination  guide,  4  pages. 

35  "  Clinical  record,   examination  of  eye. 

36  "  Gynecological  chart. 

37  "  Ward  card,  description   of  patient,   plain  back. 

38  Ward  card,  description  of  patient,  printed  on  back   (Visits.) 

39  Higher  scale  of  mental  measurement. 

40  Circular  letter  to  family  physician. 

41  Application   for  admission,    voluntary  patient. 

42  "  Blood  chart,  printed  both  sides. 

43  Record  of  hydrotherapy,  ruled  both  sides. 

44  "  Mental  chart  report — Binet-Simon  test. 

45  "  Dentist's   daily   record. 

46  Index  card,  blue,  admission  by  number,  etc. 

47  "  Detailed  monthly  report  of  wards. 

48  "  Pamphlet,  outline  theoretical  training. 
49.      "  Statement  and  particulars  to  coroner. 

50  "  Parole  card,  buff  (Man.) 

51  "  Parole  card,  fawn   (all  other  hospitals.) 

52  "  Parole  card,  yellow   (Special  limit.) 

53  "  Special  diet  order. 

54  "  Notes. 

55  "  Patients  index  card. 

56  "  Chief  supervisor's  daily  report. 

57  "  History  of  patient,  unruled,  15  Ib. 

58  "  Daily  report,  attendant. 

59  "  Daily  report,  night   attendant. 
CO  Daily  report,  supervisor,  men. 


212  FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS 

61-Med.  Daily  report,  supervisor,  women. 

G2  "  Daily  report,  assistant  physician. 

63  "  Daily   report,   woman   physician. 

88  "  Patients  record  card. 

89  Prescription  record. 

90  Method  of  using  formaldehyde,  etc. 

91  "  Waid  prescriptions,  pads. 
92-99  "  Isabels. 

100  "  Laboratory  examination  of  urine. 

101  "  Restraint  and  seclusion  order,  pads. 

102  "  Daily  restraint  and  seclusion  record. 

103  "  Autopsy  record,  single  sheet. 

104  "  Autopsy  record,  8  pages. 

305  "  Card — Number,   name,   diagnosis. 

106  "  Pupils  eligible  for  R.  N.  degree. 

107  "  Patient's  record   card   (white)   H.   R. 

108  "  Employee's  record  card   (yellow)   H.   R. 

109  "  Employee's  record  card   (blue)    H.   R. 

110  "  Employee's  record  card   (white)   H.   R. 

111  "  Statistical   record — clinic  case. 

112  "  Statistical   card — clinic  case. 

113  "  Record  of  social  service  case. 

114  "  Record  of  out-patient  clinic. 

115  "  Daily  record  of  social  worker. 

116  "  Admission  memo — card. 

117  "  Admission  memo — paper  in  pads. 

118  "  Medical  report  of  nose,  pharynx,  larynx  and  ears. 
120  "  Admission — Residence — County   (blue  card). 

J21  "  Case  book  record  of  admissions  (yellow  card). 

1£2  "  Dental  chart. 

123  "  Record  card  (white) — microscopical  examination. 

124  "  Clinical  summary  (blue,  8x10^) — K.  P. 

125  "  Social  history. 


STEWARD 

Form  No.  Title 

1-Std.  Scratch  sheets  for  estimate. 

2  "  First  sheet,  est.   3,  capacity,  etc. 

3  "  Revised  estimate  blank  for  est.   1-14  inclusive. 

4  "  Revised  estimate  blank  for  all  re  and  sup.   estimates. 

5  "  Special  fund  estimate  blank. 

6  "  Estimate  sheet  (all  hospitals.) 

7  "  Supt's  certificate  re-estimates. 

8  "  Certificate  slip. 


FORMS  AUTHORIZED  FOR  USK  IN  THE  STATE  HOSPITALS         213 

9-Std.  Temporary  binders,  plain,  for  estimates   (all  hospitals). 

10  "  Steward's  order  blank,  orig.,  white. 

11  "  Steward's  order  blank,  buff. 

12  "  Steward's  order,  second  sheet,  white. 

13  "  Steward's  order,  second  sheet,  buff. 

14  "  Enclosed  orders,  slip. 

15  "  Merchandise  received  from  boat. 

16  Outgoing  shipment  book,  500  leaves. 

17  "  Tag,  rejected. 

18  General  fund  voucher,  white,  long. 

19  Manufacturing  fund  voucher,  yellow,  long. 

20  Special   fund  voucher,   white,   red  ink,  long. 

21  "  Slips  to  attach  to  vouchered  receipts. 

22  "  Requisition   on   storekeeper. 

23  "  Clothing  requisitions. 

24  "  Exchange  requisitions. 

25  "  Repair  order. 

26  "  Daily  summary  of  requisitions. 

26a  "  Daily  summary  of  requisitions,   unprinted. 

27  "  Weekly  summary  of  requisitions. 

28  "  Merchandise  ledger. 

29  "  Work  in  process. 

30  "  Foreman's  report. 

31  "  Daily  report,  industrial. 

32  "  Work  tags. 

33  "  Card  5"  x  8"  employees'  agreement. 

34  "  Voucher,  officers'  salaries,  part  1.-, 

35  "  Voucher,  officer's  salaries,  part  2. 

36  "  Voucher,  wages,  est.  2,  part  1. 

37  "  Voucher,  est.   2,  part  2. 

38  " 

39  "  Notice  to  steward  to  supply  funds  for  transportation  of  patients. 

40  "  Directions   for  attendants  going  for  patients. 

41  "  Bill  for  care  and  maintenance. 

42  "  Carbon  copy  of  41. 

43  "  Cash  bcok  15J4"  x  263^",   300  pages   (two  sizes). 

44  "  Reimbursing  patients'  ledger,   loose  sheet. 

45  "  Reimbursing  patient's  ledger,  bound  book. 

46  "  Weekly  report  of  receipts. 

47  Statement  of  receipts  and  expenditures. 

48  "  Transmission  of  receipts  to  treasurer. 

49  "  Sale  of  uniform  materials,  refunds  to  treasurer. 

50  "  Voucher  register,  loose  leaf. 

51  "  Price  list,  coffee  and  spice  (Utica). 

52  "  Gardener's  report  of  produce. 

53  "  Consumption   of  farm  products,  part  1. 

54  "  Consumption  of  farm  products,  part  2. 

§5  "  Consumption  of  farm  products   (estimate  No.  5.) 


214  FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS 

56-Std.  Farm  accounting,   debit   sheet. 

57  "  Farm  accounting,  credit  sheet. 

58  "  Register  of  farm  accounts. 

59  "  Memo,  by  steward,  in  pads. 

60  "  Bill  head  (accounts  receivable). 

61  "  Meat  cutter's  daily  report. 

62  "  Baker's  daily  report. 

63  "  Mechanic's  daily  employment  record. 

64  "  Daily  report   (time  &heet)   farm. 

65  '*  Summary  time  sheet,  monthly,  farm. 

66  "  Cook's  daily  report. 

67  "  Record  of  patients'  pioperty  book. 

68  "  Report  filter  plant    (Binghamton). 

69  "  Engineer's  report,  coal  consumed. 

70  "  Receipt  for  general  use. 

71  "  Daily  report  waste   foods. 

72  "  Memo,  of  purchases. 

73  "  Receipt  for  patient's  property. 

74  "  Receipts  for  patient's  cash. 

75  "  Duplicate  card,  material  in  car. 

76  "  Scales  book,  four  to  page. 

77  "  Official  receipt,  outgoing  freight   (Man,) 

78  "  Storekeeper's    report,    merchandise    received,    white    and    yellow, 

bound  book. 

79  "  Quotation  sheet. 

80  "  Circular  letter,  check  enclosed. 

81  "  Reimbursing  patient's  card. 

82  "  Invoice  manufacturing  department,    (Utica). 

83  "  Receipts  and  expenditures,  manufacturing. 

84  "  •  Ledger,   manufacturing  department,   loose  sheet. 

85  "  Daily  report,  soap  factory. 

86  "  Cost  card,  soap  factory. 

87  "  Dist.  and  stock  ledger,  manufacturing   (Rochester). 

88  "  Incoming  private  packages   (book). 

89  "  Monthly   report,  private   and  reimbursing  patients. 

90  "  Record  of  dairy,  daily  9"  x  28". 

91  "  Record  of  dairy,  daily  9"xl5}4". 

92  "  Report  of  dairy,  yearly  by  months. 

93  "  IvCtter  head,  steward  20"  Ib.   bond,  printed  black. 

94  "  Retirement  card  3"  x  5". 

95  "  Dietary,  general. 

96  "  Proposals,  requests  for  quotations. 

96a    "  Proposals,  requests  for  quotations,  second  sheet. 

97  "  Sales  slip,   re-educational  fund  book — 50   white  ^and  50  yellow. 

98  "  ledger  of  patients'  accounts. 

99  "  Dynamo  station  report. 

100  "  Mechanic's  daily  report,  printed  on  back. 

101  "  Farm  accounting,  monthly  summary  of  credits. 


FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS        215 

102-Std.  Steward's  receipt — pay  order — white. 

102a  "  Steward's  receipt — pay  order — white. 

]02b  "  Steward's  receipt — pay  order — buff. 

102c  "  Steward's  receipt — pay  order — blue. 

103  "  Engineer's  daily  report — electric  light  station. 

104  "  Engineer's  daily  report — electric  light  station   (H.  R.) 

105  "  Bill  heads   (accounts  payable). 

106  "  Coal  analysis. 

107  "  Summary   of   requisitions    (Kings   Park). 

108  "  Milk  record,  Orchard  House,  Binghamton. 

109  "  Milk  record,   Parkhurst,   Binghamton. 

110  "  Egg   record,   Plymouth   Rock,   Binghamton. 

111  "  Daily  dietary. 

112  "  Blank — Employee   leaving   service. 

113  "  Boiler  room   record — Binghamton. 

114  "  Water  supply  record — Binghamton. 

115  Electric  power  and  light  record. 

116  "  Power  house  daily  work  and  accident  report    (Bing.) 

117  "  Steam    coal    receiving   record,    book   250    pp.    white   and   250    pp. 

yellow. 

118  Complete  card  record,  book  250  pp.  white  and  250  pp.  yellow. 

119  Slip  to  attach  to  vouchers. 

120  Power  plant,  monthly  record. 

121  Chief  engineers  weekly  report. 

122  "  Butcher's,  certif.    (H.   R.) 

123  "  Reimb.   and  Priv.   Pats.    Ledger,  loose  sheet    (H.   R.) 

124  "  Steward's  daily  report. 

125  "  Billhead — Exp.   bringing  patients   to  hospital    (H.    R.) 

126  "  Food    supplies    distribution    sheet    ruled   and   printed   both    sides. 

127  "  Voucher — Extraordinary  improvements. 

128  "  Steward  to  undertaker. 

129  "  Statement  of  balances,  etc. 

130  "  "  Notice."     Arrears  in  reimbursing. 

131  "  Log   Readings.     Change   in   form   number  with   change   in   form, 
to 

140  "  L,og  Readings.     Change  in  form  number  with  change  in  form. 

142  "  Card— ash. 

143  "  Card— coal. 

144  "  Report  of  ice  plant   (Man.) 

145  "  Report  of  farm  products  exchanged. 

146  "  Analysis  ledger   (Bing.) 

147  "  Farm   accounting  daily  report. 

148  "  Storekeeper's   report   of  merchandise   received,   8"  x  5*4". 

149  "  Coal  certificate,  S^xS^". 

150  "  Miscellaneous  receipts,   8"  x  5^4". 


216  FORMS  AUTHORIZED  FOR  USE  IN  THE  STATE  HOSPITALS 
STATE  HOSPITAL  COMMISSION 

Form  No.  Title 

1-s.  H.  c.  Certificate  of  service  retirement  fund. 

2  "  Retirement  fund  certificate. 

3  "  Retirement  fund  voucher,  pink. 

4  "  General  statistics  for  year. 

6  "  General  statement. 

7  "  General  fund  check,  blue. 

8  "  Special  fund  check,  white. 

9  Manufacturing  fund  check  -(blue). 

10  "  Official  directory,   State  hospitals   (green). 

11  "  Official  handbook,  red  leather. 

12  "  Abstract  of  accounts,  treasurer. 

13  "  Abstract  of  accounts,  treasurer,  intermediate  sheet. 

14  "  Abstract  of  accounts,  treasurer,  final  sheet. 

15  "  Certificate   of  analysis    (Chemical   Laboratory,   Binghamton). 

16  "  Tabulation   sheet    (Purchasing   Committee). 

17  "  Gummed  label    (Purchasing  Committee). 

18  "  Better  head   (Purchasing  Committee)   20  pound  bond. 

19  "  Advance  estimate  for  6  months  supplies. 

20  "  Proposals   and  specifications. 

21  "  Certificate     of     analysis,     coal     (Chemical     Laboratory,     Bing- 

hamton). 

22  .  "  Minutes   of  purchasing  committee   meeting. 

23  "  Residence  of  patients  by  counties. 

24  "  Bond,  purchasing  committee. 

25  "  Acknowledgment    for    corporation,    purchasing   committee. 

26  "  Acknowledgment   for   individual,   purchasing   committee. 

27  "  Agreement,  2  parts. 

37  "  Report  of  new  cases  of  communicable  diseases. 

42  "  Daily  attendance  record. 

43  "  R^poit  of  service  ratings. 
45  "  Check  register — special. 

47  "  Chapter,  laws  and  title  blanks,  8^"xll". 

50  "  Monthly  report  out-patient  department. 

51  "  Monthly  report  of  social  worker. 

52  "  Memo,  by  secretary,  red  ink. 

53  "  Memorandum  by  Commission  in  pads. 

54  "  Record  of  estimates  and  expenditures. 
61  "  Special  ruled  paper — 14"  x  21". 

66  "  Psychoses — 10"  x  20". 

76  "  Special  fund  vouchers. 

80  "  Special  fund  payments. 

83  "  Record  of  military  or  naval  insane  in  N.  Y.  state  hospitals. 

87  "  Card — admission,  transferred,   deported,   3"  x  5". 


CLASSIFICATION  OF  MENTAL  DISEASES  ADOPTED^BY  THE 

AMERICAN    MEDICO-PSYCHOLOGICAL    ASSOCIATION 

MAY  30,  1917,  AND  BY  THE  NEW  YORK  STATE 

HOSPITAL  COMMISSION  JULY  i,    1917 

1.  Traumatic  psychoses. 

(  a  )  Traumatic  delirium. 
.     (  b )  Traumatic  constitution. 

(  c )  Post-traumatic  mental  enfeeblement. 

2.  Senile  psychoses. 

( a )  Simple  deterioration. 

(b)  Presbyophrenic  type. 

(  c )  Delirious  and  confused  states. 

(d)  Depressed  and  agitated  states  in  addition  to  deterioration 

( e )  Paranoid  states. 

( f )  Presenile  types..  * 

3.  Psychoses  with  cerebral  arteriosclerosis. 

(This    includes     psychoses    following    cerebral    softenings     or 
hemorrhage  if  due  to  arterial  disease.; 

4.  General  paralysis. 

( a )  Tabetic  type. 

( b )  Cerebral  type. 

5.  Psychoses  with  cerebral  syphilis. 

6.  Psychoses  with  Huntingtori1  s  chorea. 

7.  Psychoses  with  brain  tumor. 

8.  Psychoses  with  other  brain  or  nervous  diseases. 

(The  following  are  the  more  frequent  of  these  diseases  and  should 
be  specified  in  the  diagnosis): 

Cerebral  embolism. 

Paralysis  agitans. 

Meningitis,  tubercular  or  other  forms  (to  be  specified)* 

Multiple  sclerosis. 

Tabes. 

Acute  chorea. 

Other  conditions  (to  be  specified). 


218  CLASSIFICATION  OF  MENTAL  DISEASES 

9.  A  Icoholic  psychoses. 

(a)  Pathological  intoxication. 

( b )  Delirium  tremens. 

(  c)  Korsakow  psychoses. 

(d)  Acute  hallucinosis. 

( e )  Chronic  hallucinosis. 

(f )  Acute  paranoid  type, 
(g  )   Chronic  paranoid  type, 
(h)  Alcoholic  deterioration. 

( i  )  Other  types,  acute  or  chronic. 

10.  Psychoses  due  to  drugs  and  other  exogenous  toxins. 

(a)  Opium  (and  derivatives),  cocaine,  bromides,  chloral,  etc., 

alone  or  combined  (to  be  specified). 

(b)  Metals-,  as  lead,  arsenic,  etc.,  (to  be  specified). 
(  c)  Gases  (to  be  specified). 

.   (d)  Other  exogenous  toxins  (to  be  specified). 

11.  Psychoses  with  pellagra. 

12.  Psychoses  with  other  somatic  diseases. 

( a )  Delirium  with  infectious  disease  (specify). 

( b )  Post-infectious  psychoses. 
(  c )  Exhaustion  delirium. 

(  d )  Delirium  of  unknown  origin. 
(  e )  Cardio-renal  diseases. 

( f )  Diseases  of  the  ductless  glands. 

(g)  Other  diseases  or  conditions  (to  be  specified). 

13.  Manic-depressive  psychoses. 

( a )  Manic  type. 

(b)  Depressive  type. 

( c  )  Stupor.  . 

(d)  Mixed  type. 

( e )  Circular  type. 

14.  Involution  melancholia. 

15.  Dementia  prcecox. 

( a )  Paranoid  type. 

(b)  Catatonic  type. 

( c )  Hebeprenic  type. 

(d)  Simple  type. 


CLASSIFICATION  OF  MENTAL  DISEASES  219 

16.  Paranoia  or  paranoic  conditions. 

17.  Epileptic  psychoses. 

(a)  Deterioration. 

(b)  Clouded  states. 

(  c )  Other  conditions  (to  be  specified) . 

3.S.     Psychoneuroses  and  neuroses. 

(  a )  Hysterical  type, 
(b)  Psychasthenic  type. 
(  c  )  Neurasthenic  type, 
(d)  Anxiety  neuroses. 

19.  Psychoses  with  psychopathic  personality . 

20.  Psychoses  with  mental  deficiency. 

21.  Undiagnosed  psychoses- 

-22.     Not  insane. 

(a)  Epilepsy  without  psychosis. 

(b)  Alcoholism  without  psychosis. 

(  c )  Drug  addiction  without  psychosis. 

(d)  Psychopathic  personality  without  psychosis. 

( e )  Mental  deficiency  without  psychosis. 

(f )  Others  (to  be  specified.) 


Daily  Ration  Allowance 

In  1901,  after  conducting  experiments  with  hospital  dietaries  for 
four  years,  Professor  W.  O.  Atwater,  a  distinguished  Government 
food  expert,  recommended  a  series  of  dietaries  for  patients  and 
attendants  in  the  State  hospitals  and  the  establishment  of  a  daily 
ration.  The  following  allowances  are  based  upon  these  recommenda- 
tions slightly  modified  after  practical  experience.  The  amounts 
stated  are  used  by  the  Commission  as  the  basis  for  the  quarterly  food 
estimates  for  officers,  employees  and  patients. 

MEATS 9     oz. 

FARINACEOUS  FOODS...     13      " 
POTATOES .10     " 

EGGS ...         K  egg  and  y*  egg  additional  for  Wfo 

of  population 

MII.K 1  pint  and  1  pint  additional  for  20  $> 

of  population 

BUTTER l/^  oz.  and  .05  oz.  additional  for 

of  population 

CHEESE 3-io  oz. 

SUGAR..... 2l/s    " 

TEA X    " 

COFFEE /4   " 

FRUIT »* 10  cents  per  week  per  patient 


APPROPRIATIONS 

CHAPTER  165,  LAWS  OF  1920.     GENERAL  APPROPRIA- 
TION BILL 

Personal  service 

Commission's  Office 

Medical  commissioner $7,500  oo 

Legal  commissioner 5,000  oo 

Lay  commissioner 5,000  oo 

Medical  inspector 5,000  oo 

Secretary .5,000  oo 

Assistant  secretary  and  treasurer 3,500  oo 

Inspector  of  buildings  and  engineering 3,500  oo 

Inspector  of  dairy  products 3,500  oo 

Inspector 3,ioo  oo 

Statistician  and  editor 3,500  oo 

Assistant  statistician 2,000  oo 

Auditor 5,ooo  oo 

Assistant  auditor 3,350  oo 

Assistant  auditor 3,ooo  oo 

Accountant 3,000  oo 

Confidential  accountant 4,250  oo 

Counsel 3,000  oo 

Chemist 600  oo 

Agent 2,500  oo 

Agent,  4  at  $8  per  day,  300  days  each 9,600  oo 

Agent,  280  days  at  $8  per  day 2,240  oo 

Indexer 1,400  oo 

Clerk  and  stenographer r,8oo  oo 

Voucher  clerk 2,200  oo 

Voucher  clerk,  2  at  $1,800 3,600  oo 

Clerk,  2  at  $1,800 3,600  oo 

Clerk , 1,600  oo 

Clerk 1,500  oo 

Clerk,  2  at  $1,380. 2,760  oo 

Clerk,  4  at  $900 3,600  oo 

Junior  clerk  and  relief  telephone  operator 780  oo 

Stenographer 1,440  oo 

Stenographer 1,380  oo 

Stenographer 1,320  oo 

Stenographer,  3  at  $1,200 3,600  oo 


222  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

Stenographer $900  oo 

Telephone  operator 900  oo 

Salaries,  temporary 

For  vacation  relief  and  extra  work 1,500  oo 

Bureau  of  deportation 

Medical  examiner 

Deputy  examiner 

General  interpreter 

Transportation  agent 

Interpreter 

Stenographer  

Stenographer 

Psychiatric  institute 

Director ; . . . 

Assistant  director 

Chief  associate  in  neuropathology 

Assistant  in  neuropathology 

Senior  assistant  physician 

Assistant  physician 

Associate  in  serology 

Associate  in  bacteriology 

Associate  in  internal  medicine  and  clinical  pathology 

Secretary 

Medical  stenographer 

Stenographer  

Stenographer 

Laboratory  helper 

Laboratory  helper 

Laboratory  helper 

Laboratory  helper 

Laboratory  worker 

Photographer 

Attendant 

Cook. 

Waitress 

Maintenance  and  operation 
Printing 

General  printing 

Departmental  reports  and  bulletins 

Advertising "...... 

Equipment  and  supplies 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  223 

Traveling  expenses 

Commissioners  (as  provided  by  chapter  27   of  the 

consolidated  laws) $3,600  oo 

Employees,  not  more  than  $900   of  which  .may  be 
used  for  traveling  outside  the  state 12,000  oo 

For  transfer  of  patients  from  one  hospital  to  another 
to  relieve  overcrowding,  and  for  the  return  to  other 
states  and  countries  of  nonresident  and  alien 
insane 40,000  oo 

Communication : 4,200  oo 

Fixed  charges  and  contributions 
Commutation 3,240  oo 

General  plant  service '. 2, 100  oo 

Rent 750  oo 

Deficiency  appropriation 

Maintenance  and  operation 

Printing 50000 

Traveling  expenses , 800  oo 

Traveling  expenses  incurred  prior  to  July  i,  1919 57  44 

To  reimburse  George  LeTellier  for  moneys  advanced 
for  maintenance  of  Mortimer  LeTellier,  a  patient 
in  the  Hudson  River  State  Hospital,  in  accordance 
with  advice  of  the  attorney-general 213  02 

BINGHAMTON  STATE  HOSPITAL 

.  Personal  service $344,225  33 

Maintenance  and  operation 606,200  oo 

CONSTRUCTION  AND  REPAIRS 

Extension  of  electric  lines  to  farm  buildings  and  electric 

wiring 8,000  oo 

Bakery  machinery ^* 2,500  oo 

Sidewalks i  ,000  oo 

Service  lines 10,000  oo 

Renewals  of  electric  wiring 7,000  oo 

Laundry  equipment,  including  elevator 12,000  oo 

Deficiency  appropriation 
Maintenance  and  operation 

Food,  incurred  prior  to  July  i,  1919 17  15 

Farm  and  garden 2,500  oo 


224  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

Construction  and  repairs: 

To  pay  to  the  Peter  Keeler  Building  Company  balance 
due  on  contract  for  building  for  chronic  patients  at 
Binghamton  State  Hospital $60  oo 

BROOKLYN  STATE  HOSPITAL 

Personal  service $216,462  66 

Maintenance  and  operation 314,500  oo 

•  CONSTRUCTION  AND  REPAIRS 

For  construction  of  additional  accommodations  for  patients, 
including  necessary  outside  service  connections: 

Authorized  Appropriated 

Chap.  181,  Laws  1917.  $300,000  $100,000 

Chap.  151,  Laws  1918.  125,000 

Chap.  177,  Laws  1919.                     400,000                      175,000 
An  additional  appropriation  of  eighty-five  thousand  dol- 
lars ($85,000)  is  hereby  made 85,000  oo 

Grading,  walks  and  grounds 4,000  oo 

Painting  interior  walls,  new  buildings 5,000  oo 

Additional  refrigeration  equipment 15,000  oo 

Additional  power  house  equipment 6,000  oo 

Addition  to  laundry  building: 

Authorized  Appropriated 

Chap.  177,  Laws  1919.  $50,000  $25,000 

An  additional  authorization  of  thirty-three  thousand,  seven 
hundred  fifty  dollars  ($33,750)  is  hereby  made,  and  an  ad- 
ditional sum  of  thirty  thousand  dollars  (30,000)  is  hereby 

appropriated 30,000  oo 

Equipment  for  additional  accommodations. 40,000  oo 

Lighting  grounds 1,000  oo 

Elevators 20,000  oo 

Deficiency  appropriation 
Personal  service                               ^ 
Special  services,  incurred  prior  to  July  i,  1919 167  50 

BUFFALO  STATE  HOSPITAL 

Personal  service $279,563  33 

Maintenance  and  operation 465,000  oo 

CONSTRUCTION  AND  REPAIRS 

Additions  and  alterations  to  central  heating  plant— the 
sum  of  one  hundred  and  twenty-five  thousand  dollars 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  225 

($125,000)  is  hereby  authorized,  of  which  the  sum  of 
seventy-five  thousand  dollars  ($75,000)  is  hereby  appro- 
priated   $75,000  oo 

Additional  accommodations  (300  patient  building)  the  sum 
of  three  hundred  and  twenty-five  thousand  dollars 
($325,000)  is  hereby  authorized,  of  which  the  sum  of  one 
hundred  thousand  dollars  ($100,000)  is  hereby  appropri- 
ated    100,000  oo 

Alterations  to  administration  building 15,000  oo 

CENTRAL  ISLIP  STATE  HOSPITAL 

Personal  service $  606,258  33 

Maintenance  and  operation 1,093,400  oo 

CONSTRUCTION  AND  REPAIRS 

For  additional  accommodations  for  patients: 

Authorized    •       Appropriated 

Chap.  151,  Laws  1918.                    $150,000  $25,000 

Chap.  177,  Laws  1919.  50,000 

An  additional  authorization  of  five  hundred  seventy-eight 
thousand  dollars  ($578,000)  is  hereby  made,  of  which  four 
hundred  fifty  thousand  dollars  ($450,000)  is  hereby  appro- 
priated   450,000  oo 

Quarantine  building: 

Authorized  Appropriated 

Chap.  177,  Laws  1919.  $20,000  $10,000 

An  additional  appropriation  of  ten  thousand  dollars  ($10,000) 
is  hereby  made : 10,000  oo 

Fire  alarm  system: 

Authorized  Appropriated 

Chap.  177,  Laws  1919.  $15,000  $7,500 

An  additional  appropriation  of  seven  thousand  five  hun- 
dred dollars  ($7,500)  is  hereby  made 7, 500  oo 

For  new  central  heating  and  lighting  plant : 

Authorized          Appropriated 

Chap.  181,  Laws  1917.  $150,000  $50,000 

Chap.  151,  Laws  1918.  50,000  100,000 

Chap.  177,  Laws  1919.  135,000  125,000 

An    additional  appropriation    of    sixty  thousand  dollars 

($60,000)  is  hereby  made 60,000  oo 

Refrigerating  unit  for  kitchen 8,000  oo 

Additional  water  supply 5,ooo  oo 

Furniture  and  equipment  for  new  buildings 23,000  oo 


226  LAWS  RELATING  TO  INSANE  AND.  INSTITUTIONS 

Cold  storage  plant  and  equipment: 

An  authorization  of  one  hundred  thousand  dollars  ($100,000) 
is  hereby  made,  of  which  twenty-five  thousand  dollars 

($25,000)  is  hereby  appropriated , $25,000  oo 

Addition  to  wagon  and  implement  shop 2,500  oo 

Open  air  pavilion  for  use  and  protection  of  patients 4rooo  oo 

Service  connections,  laundry  building 27,000  oo 

Emergency  repairs  to  coal  trestle 4,000  oo 


GOWANDA  STATE  HOMEOPATHIC  HOSPITAL 

Personal  service $169, 179  32 

Maintenance  and  operation . . . 286,850  oo 

CONSTRUCTION  AND  REPAIRS 

Dairy  barn  and  silo 20,000  oo 

Water  supply  and  equipment 20,000  oo 

Deficiency  appropriation 
.     Maintenance  and  operation 

Fuel,  light,  power  and  water,  incurred  prior  to  July  i, 

i9J9 !24  51 

Farm  and  garden  (for  rental  of  the  Dodman  farm  to 
December  i,  1919,  including  interest  for  one  year  in 
accordance  with  advice  of  the  attorney-general) 837  17 


HUDSON  RIVER  STATE  HOSPITAL 

Personal  service $440,021  33 

Maintenance  and  operation 840, 150  oo 

CONSTRUCTION  AND  REPAIRS 

Addition  to  carpenter  shop  and  equipment 15,000  oo 

Service  connections .. » 3,600  oo 

Furniture  and  equipment,  new  tuberculosis  pavilion 10,000  oo 

Mortuary  and  laboratory  equipment 5,000  oo 

Employees'  home,  for  cottages  and  new  T.  B.  group: 
An  authorization  of  one  hundred  sixty-five  thousand  dol- 
lars ($165,000)  is  hereby  made,  of  which  the  sum  of  seventy- 
five  thousand  dollars  ($75,000)  is  hereby  appropriated. . .       75,000  oo 
For  improvement  of  water  supply: 

Authorized          Appropriated 
Chap.  177,  Laws  1919.  $25,000  $5,ooo 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  227 

An'  additional  authorization  of  twenty  thousand  dollars 
($20,000)  is  hereby  made,  and  an  additional  sum  of  thirty 

thousand  dollars  ($30,000)  is  hereby  appropriated $30,000  oo 

Emergency  repairs  to  dam 3,000  oo 

Deficiency  appropriation 
Maintenance  and  operation 
Fuel,  light,  power  and  water,  incurred  prior  to  July  i, 

1919 541  10 

KINGS  PARK  STATE  HOSPITAL 

Personal  service $535,852  oo 

Maintenance  and  operation 958,000  oo 

CONSTRUCTION  AND  REPAIRS 

For  construction  of  additional  accommodations  for  pa- 
tients: 

Authorized          Appropriated 
Chap.  177,  Laws  1919.  $350,000  $150,000 

An  additional  authorization  of  five  hundred  and  ten  thou- 
sand dollars  ($510,000)  is  hereby  made,  of  which  the  sum 
of  three  hundred  thousand  dollars  ($300,000)  is  hereby 

appropriated.. 300,000  oo 

Dining  room  and  kitchen  building  for  tuberculous  patients      85,000  oo 

Changes  in  electric  system 2,000  oo 

Deficiency  appropriation 
Personal  service 
Deficiency  in  salary  of  special  attendant,  prior  to  July 

1,1919 3000 

Deficiency  in  salary  of  first  assistant  physician 58  33 


MANHATTAN  STATE  HOSPITAL 

Personal  service $724,799  oo 

Maintenance  and  operation 1.349,600  oo 

CONSTRUCTION  AND  REPAIRS 

Bakery  building  and  equipment: 

Authorized  Appropriated 

Chap.  177,  Laws  1919.  $75,ooo  $60,000 

An   additional  appropriation  of   fifteen   thousand   dollars 
($15,000)  is  hereby  made 15,000  oo 


228  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

For  coal  trestle  and  equipment: 

Authorized  Appropriated 

Chap.  151,  Laws  1918.  $34,000  $10,000 

An  additional  appropriation  of  twenty-four  thousand  dol- 
lars ($24,000)  is  hereby  made $24,000  oo 

New  dining  room   accommodations  for  patients  in  main 
building : 

Authorized  Appropriated 

Chap.  151,  Laws  1918.  $100,000  $70,000 

An   additional   appropriation   of  thirty  thousand  dollars 

($30,000)  is  hereby  made 30,000  oo 

Exhaust  fans— laundry 1,000  oo 

Outdoor  comfort  stations 3,000  oo 

Bathing  accommodations,  ward  25 2,500  oo 

Completing  boilers  6  and  7 1,500  oo 

Circulating  hot  water  system 10,000  oo 

Sterilizer  for  laundry 5,000  oo 

Furniture  and  equipment  for  new  dining  rooms 5,000  oo 

New  boat. 40,000  oo 

Bathing  accommodations — nurses'  home 2,500  oo 

Gallery    in  heating  plant  and  alterations  to  west  power 

house  to  adapt  it  for  shDp  building 34,000  oo 

Additional  electric  machinery 20,000  oo 

Fly  screens 3,000  oo 

Alterations  to  east  building 75,ooo  oo 

Alterations  and  reconstruction   work  necessary  to  adapt 

the  U.  S.  Naval  Hospital  Group  for  State  use 90,000  oo 

Deficiency  appropriations 
Personal  service 

Attendant,  prior  to  July  i,  1919 10  09 

Deck  hand,  4  at  $i,  185  (4  months) 1,580  oo 

For  payment  to  employees  of  boat  service,  the  differ- 
ence in  rates  provided  by  the  appropriation  bill  and 
those  provided  by  the  schedule  of  the  United  States 
Shipping  Board,  from  March  i,  1919,  to  June  30,  1920  2,500  oo 

Maintenance  and  operation: 
Clothing 15,000  oo 

MIDDLETOWN  STATE  HOMEOPATHIC  HOSPITAL 

Personal  service $294,251  oo 

Maintenance  and  operation 436,900  oo 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  229 

CONSTRUCTION  AND  REPAIRS 

Laboratory  and  mortuary  building: 

Authorized          Appropriated 
Chap.  177,  Laws  1919.  $35,000  $10,000 

An  additional  authorization  of  two  thousand  five  hundred 
dollars  ($2,500)  is  hereby  made  and  an  additional  sum  of 
twenty-seven  thousand  five  hundred  dollars  ($27,500)  is 
hereby  appropriated $27,500  oo 

Storehouse : 

Authorized  Appropriated 

Chap.  177,  Laws  1919.  $20,000  $10,000 

An  additional  appropriation  of  ten  thousand  dollars  ($10,000) 

is  hereby  made 10,000  oo 

For  the  construction  and  equipment  of  a  new  building  at 
Middletown  State  Homeopathic  Hospital,  including 
necessary  heating,  water  supply  and  sewage  disposal 
system- 

Authorized          Appropriated 
Chap.  238,  Laws  1917.  $369,000  $100,000 

Chap.  177,  Laws  1919.  50,000  

An  additional  appropriation  of  two  hundred  and  eighty- 
five  thousand  dollars  ($285,000)  is  hereby  made 285,000  oo 

For  construction  of  additional  accommodations,  an  author- 
ization of  four  hundred  thousand  dollars  ($400,000)  is 
hereby  made,  of  which  the  sum  of  one  hundred  thousand 

dollars  ($100,000)  is  hereby  appropriated 100,000  oo 

Furniture  and  equipment  at  Comfort  Farm 4,000  oo 

Service  connections,  laboratory  and  mortuary  building. . . .        5,800  oo 

Electric  motors  for  laundry  and  laundry  machinery 7,000  oo 

Equipment,  mortuary  building 8,000  oo 

Removal  and  rebuilding  of  barn 10,000  oo 

Deficiency  appropriation 
Personal  service 
Deficiency  in  salary  of  special  attendant  prior  to  July 

i,  19*9 3  26 

Deficiency  in  salary  of  chambermaid  prior  to  July  i, 

1919 12    10 

ROCHESTER  STATE  HOSPITAL 

Personal  service $233,534  oo 

Maintenance  and  operation 380,450  oo 


230  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

Construction  and  repairs : 

Sewage  disposal  pump  and  piping. $4, coo  oo 

Steam  line  to  main  kitchen i  ,500  oo 

Reconstruction  of  roof  north  building 1,000  oo 


ST.  LAWRENCE  STATE  HOSPITAL 

Personal  service $278,773  oo 

Maintenance  and  operation 472,700  oo 

Construction  and  repairs: 
Additions  and  alterations  to  central  heating  plant 4,100  oo 


Silos. 


5,ooo  oo 

Additional  vegetable  cellar 3,500  oo 

UTICA  STATE  HOSPITAL 

Personal  service $260, 180  oo 

Maintenance  and  operation 390,250  oo 

Construction  and  repairs 
Mortuary  and  laboratory 

Authorized          Appropriated 
Chap.  151,  Laws  1918.  $35, coo  $10,000 

Chap.  177,  Laws  1919.  20,000 

An  additional  appropriation  of  five  thousand  dollars  ($5,000) 

is  hereby  made , .        5,000  oo 

New  bakery  and  equipment : 

Authorized          Appropriated 
Chap.  151,  Laws  1918.  $20,600  $2,000 

Chap.  177,  Laws  1919. 10,000 

An  additional  appropriation  of  four  thousand  dollars  ($4,000) 

is  hereby  made 4,000  oo 

Additions  to  equipment  in  pump  and  engine  room 7,400  oo 

Road  to  power  plant 7,600  oo 

Equipment,  mortuary  and  laboratory 8,000  oo 

Emergency  repairs  and  electric  lift,  printing  shop ...        5,700  oo 

For  the  construction  and  equipment  of  new  buildings  on 
the  Marcy  site  in  connection  with  the  Utica  State  Hos- 
pital, including  necessary  heating,  water  supply  and 
sewage  disposal  system: 

Authorized        Appropriated 

Chap.  238,  Laws  1917.  $1,250,000  $300,000 

Chap.  177,  Laws  1919.  750,000  400,000 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  231 

An  additional  authorization  of  one  million,  six  hundred 
and  ninety  thousand  dollars  ($1,690,000)  is  hereby  made, 
of  which  one  million,  three  hundred  thousand  dollars 
($1,300,000)  is  hereby  appropriated  for  continuing  con- 
struction of  which  not  more  than  twenty  thousand 
dollars  ($20,000)  may  be  available  for  the  collection  of 
data,  the  preparation  of  plans,  specifications  and  super- 
vision of  work $i  ,300,000  oo 

Deficiency  appropriation 
Personal  service 
Special  service 280  oo 

Maintenance  and  operation 
Office  expenses 200  oo 

WILLARD  STATE  HOSPITAL 

Personal  service $342,573  oo 

Maintenance  and  operation 530,200  oo 

Construction  and  repairs : 
Accommodations  for  tubercular  patients: 

Authorized  Appropriated 

Chap.  177,  Laws  1919.  $35,000  $20,000 

An    additional   authorization    of    five    thousand    dollars 

($5,000)  is  hereby  made  and  an  additional  sum   of  fifteen 

thousand  dollars  ($15,000)  is  hereby  appropriated 15,000  oo 

Dining  room  floors  at  Edgemere 5,000  oo 

Emergency  roof  repairs 4,000  oo 

Deficiency  appropriation 
Personal  service 
Railway 

To  meet  provisions  of  Adamson  law,  relating  to  rates 
and  hours  of  employment 3,652  92 


REAPPROPRIATIONS 
CHAPTER  165,  LAWS  OF  1920,  GENERAL  APPROPRIATION  BILL 

STATE  HOSPITAL  COMMISSION 

By  chapter  151  of  the  laws  of  1918,  for: 
Equipment— John  Horn  and  Sons  (re.  $46.00) 


232  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

BINGHAMTON   STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Remodeling  heating  system  (re.  $1,442.46) 
Drainage,  farm  lands  (re.  $544.90) 
Extension   of  dormitory,   scullery  and   equipment,    east   building 

kitchen  (re.  $4,300.00) 
Fencing  (re.  $2,500.44) 
Fire  escapes  (re.  $2,428.00) 

BROOKLYN  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Additional  power  house  equipment  (re.  $8,658.85) 
Elevators,  new  buildings  (re.  $2,326.00) 
Equipment,  buildings  at  Creedmoor  (re.  $1,009,65) 
Equipment,  chronic  and  reception  building  (re.  $1,437.22) 
Hospital    development    commission,    development    of    plans     and 

studies,  Creedmoor  (re.  $9,995.00) 
Laundry  and  equipment  (re.  $3,284.86) 
Lighting  of  grounds  (re.  $1,000.00) 
Sewage  plant  for  Creedmoor  (re.  $5,630.62) 

CENTRAL  ISLIP  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Additional  accommodations  for  patients  (re.  $20,266.35) 
Extension  to  laundry  and  equipment  (re.  $949.44) 
Hospital    development    commission — development    of    plans    and 

studies  (re.  $732.83) 
New  central  heating  and  lighting  plant  (re.  $12,969.35) 

GOWANDA  STATE   HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Lighting  rear  group  of  buildings  (re.  $480.53) 

HUDSON  RIVER  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 

Additional  accommodations  for  tubercular  patients  (re.  $11,284.93) 
By  chapter  571  of  the  laws  of  1918,  for: 

Alterations  and  additions  to  water  supply  system  (re.  $5,000.00) 

Repairs  to  dam  and  filling  swamp  (re.  $235.00) 


LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS  233 

KINGS  PARK  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 

Steel  ceiling,  plastered  side  walls,  etc.  (re.  824.97) 

Additional  accommodations  for  tubercular  patients  (re.  $75,000.00) 

Additional  fire  protection  (re.  $529.69) 

Extension  of  sewage  disposal  pjant  (re.  $470.89) 

Furniture  and  equipment  (re.  $498.83) 

Kitchen  and   dining-room  accommodations,  tuberculosis  pavilions 

(re.  $19,000.00) 

Water  storage  reservoir  (re.  $10,000.00) 
Hospital  development  commission,  plans  and  studies  (re.  $193.14) 

MANHATTAN  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 

Painting  (re.  $2,252.55) 

Repairs  to  ward  floors,  doors  and  trim  (re.  $742.73) 

Additional  accommodations  for  disturbed  patients  (re.  $94,528.09) 

Coal  and  ash  handling  apparatus  (re.  $9,060.77) 

Coal  trestle  and  equipment  (re.  $10,000.00) 

Dining-room  accommodations  for  patients,  main  building 
(re.  $19,949.92) 

Additional  accommodation  (re.  $48,185.81) 
By  chapter  571  of  the  laws  of  1918,  for: 

Repairs  and  renewals  to  heating,  plumbing,  etc.  (re.  $1,430.70) 

MIDDLETOWN  STATE  HOSPITAL 

By  chapter  151  of  the  laws  of  1918,  for: 
Building  for  tubercular  patients  (re.  $1,440.06) 
Cottage  for  patients,  Comfort  Farm  (re.  $2,063.19) 
Heating,  plumbing,  lighting,  etc.,  tubercular  cottage  (re.  $5,125.69) 
Silos  and  barns  (re.  $8,475.96) 

ROCHESTER  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Galvanized  ventilating  ducts  (re.  $2,000.00) 

ST.  LAWRENCE  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Replacing  boiler,  stone  crusher  plant  (re.  $1,500.00) 


234  LAWS  RELATING  TO  INSANE  AND  INSTITUTIONS 

Breeching  to  connect  boilers  (re.  $728.44) 

Hospital  development  commission,  development  of  plans  and  studies, 
water  supply  (re.  $500.00) 

UTICA  STATE  HOSPITAL 

By  chapter  151  of  the  laws  of  1918,  for: 

Repairs  and  installation  of  blowers  for  boilers  (re.  $2,238.65) 
Bakery  and  equipment  (re.  $2,000.00) 

Hospital    development    commission,    development     of    plans    and 
studies,  Marcy  division  (re.  $5,555-45) 

WILLARD  STATE  HOSPITAL 
By  chapter  151  of  the  laws  of  1918,  for: 
Chlorinating  plant  (re.  $488.30) 


SUMMARY  OF  GENERAL  APPROPRIATION  BILL 

CHAPTER  165,  LAWS  OF  1920 
Personal  service 

Commission's  office $i  17,020  oo 

Bureau  of  deportation 15,960  co 

Psychiatric  Institute 33,799  °° 


Total,  personal  service $166,779  oo 

Maintenance  and  operation 79»I9o  oo 


Total,  Hospital  Commission $245,969  oo 

For  State  hospitals  (see  table,  page  236) 

Personal  service $4,725,772  30 

Maintenance  and  operation 8,124,200  oo 


Total $12,849,972  30 

Construction  and  repairs  3,830,700  oo 


Total  for  State  hospitals $16,680,672  30 

Total  in   Chapter   165,    for   Department   for 

1920-1921 16,926,641  30 

DEFICIENCY  APPROPRIATIONS  FOR  USE  IN  1919-1920 

State  Hospital  Commission 

Maintenance  and  operation $1,570  46 

State  hospitals 

Personal  service $  8,294  20 

Maintenance  and  operation 19,219  93 

Construction  and  repairs 60  oo 


Total $27,574  13 

Total  deficiency  appropriations 29,144  59 


SUMMARY  OF  APPROPRIATIONS 


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SUMMARY  OF  APPROPRIATIONS  237 

REAPPROPRIATIONS 
STATE  HOSPITAL  TOTAL  AMOUNT 

Commission's  office $        46  oo 

Binghamton " 11,215  80 

Brooklyn 33,342  20 

Central  Islip 34,9*7  97 

Gowanda 480  53 

Hudson  River 16,519  93 

Kings  Park 106,517  52 

Manhattan 186, 150  57 

Middletown 17,10490 

Rochester 2,000  oo 

St.  Lawrence 2,728  44 

Utica 9,794  10 

Willard -. , 488  30 

Total $421,306  26 


CHAPTER  34,  LAWS  OF  1920 

APPROPRIATIONS  FOR  STATE  HOSPITAL  DEPARTMENT 
FOR  USE  IN  1919-1920 

QTATW  TTnoufTAT  Maintenance 
ITAL                                                                           and  operation 

Commission's  office $    15,000  oo 

Binghamton 78,040  oo 

Brooklyn 14,478  80 

Buffalo 29,216  19 

Central  Islip 191 ,535  10 

Gowanda 38,500  oo 

Hudson  River 152,800  35 

Kings  Park 109,000  oo 

Manhattan , 403,000  oo 

Middletown * 23,750  oo 

Rochester 50,000  oo 

St  Lawrence 55,813  49 

Utica 38,554  95 

Willard 68,240  99 

Total $1,267,930  27 

Manhattan  State  Hospital: 

Personal  service 20, 178  oo 

16 


238 


SUMMARY  OF  APPROPRIATIONS 
CHAPTER  697,  LAWS  OF  1920 


Salaries  of  State  hospital  employees  as  provided  by  new 

schedule. $1,120,000  oo 

CHAPTER  582,  LAWS  OF  1920 

APPROPRIATIONS  FOR  STATE  HOSPITAL  DEPARTMENT 
FOR  USE  IN  1919T1920 

Central  Islip  State  Hospital 
Maintenance  and  operation 

Fuel,  light,  power  and  water $15,000  oo 

Clothing 12,000  oo 

•     Furniture,  furnishings  and  household  supplies. .  17,00000 

Traveling  expenses. 700  oo 

Kings  Park  State  Hospital 

Maintenance  and  operation 

Food $20,000  oo 

Roads,  grounds  and  walks •        15,000  oo 

Manhattan  State  Hospital 

Maintenance  and  operation 

Farm  and  garden $1,500  oo 

Willard  State  Hospital 

Maintenance  and  operation 

General  administration  prior  to  July  i,  1919 $140  36 

«    Traveling  expenses 400  oo 

Total  for  use  in  1919-1920 $81,740  36 

FOR  USE  IN  1920-1921 
Binghamton  State  Hospital 
Personal  service 

Accounting  and  stores 

Voucher  and  treasurer's  clerk $840  oo 

Manhattan  State  Hospital 
Construction  and  repairs 

Repairs  to  assembly  hall $30,000  oo 

Equipment  for  assembly  hall 10,000  oo 

Total  for  use  in  1920-1921 $40,840  oo 


SUMMARY  OF  APPROPRIATIONS  239 

CHAPTER  20,   LAWS  OF  1920 
Brooklyn  State  Hospital,  Creedmoor  Division 

Construction  of  buildings  and  plant  and  develop- 
ment of  grounds $500,000  oo 

CHAPTER  860,  LAWS  OF  1920 
Psychiatric  Institute 

Development  of  plans,  soil  surveys  test  pits  models, 

etc $25,000  oo 


SUMMARY  OF  ALL  APPROPRIATIONS  FOR  THE  STATE 

HOSPITAL  DEPARTMENT  MADE  BY  THE 

LEGISLATURE  OF  1920 

FOR  USE  IN  1920-1921 
Commission's  office,  bureaus  and  Psychiatric  Institute 

Personal 'service $166,779  °° 

Maintenance  and  Operation 79,190  oo 

Construction  and  repairs 25,000  oo 

$     270,969  oo 
State  hospitals 

Personal  service .$5,846,612  30 

Maintenance  and  operation 8,124,200  oo 

Construction  and  repairs 4,370.700  oo 

$18,341,512  30 

FOR  USE  IN  1919-1920 

Commission's  office,  bureaus  and  Psychiatric  Institute 

Maintenance  and  operation $       16,570  46 

State  hospitals 

Personal  service $     28,472  20 

Maintenance  and  operation 1,353,890  56 

Construction  and  repairs.. 60  oo 

$  1,382,422  76 

Total  appropriations  for  Department »    $20,011,474  52 

Reappropriations 421 ,306  26 


240 


GENERAL  STATEMENT 


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CAPACITY  OF  STATE  HOSPITALS  245 


CAPACITY   OF   STATE   HOSPITALS   AND   NUMBER   OF 
PATIENTS,   JULY   i,   1920 


HOSPITAL  CAPACITY 

Binghamton  ..........................  2,400  2,738 

Brooklyn  .............................  1,043  T>3J3 

Buffalo  ...............................  1,700  2,344 

Central  Islip  ...................  '.  ......  4,100  5*577 

Gowanda  .......  :  .....................  950  1*274 

Hudson  River  ........................  2,850  3,562 

Kings  Park  ...........................  3,600  4,797 

Manhattan  ............................  5,230  6,045 

Middletown  ..........................  .  1,840  2,177 

Rochester  ............................  1,260  1,772 

St.  Lawrence  .........................  1,950  2,282 

Utica  .................................  1,400  1,829 

Willard  ...............................  2,114  2,584 


Total 3°,437  38,294 


INDEX 


SEC.       PAGE 

ACCIDENTS,  injuries  and  escapes,  report  of 182,  203 

Accounts  furnished  treasurer  by  steward 55,  3             71 

of  committees  of  incompetent  persons,  L.  1915 130 

or  public  officers,  L.  1920 160 

of  State  hospitals 45,  9             60 

form  of,  to  be  prepared  by  State  comptroller 143 

Acquisition  of  property  for  use  of  State  hospitals  by  con- 
demnation and  otherwise 64             75 

Actions  at  law,  against  Commission,  managers  or  officers  of  • 

State  hospitals 58             73 

for  support  of  poor  or  indigent  insane,  L.  1898 123 

to  recover  moneys  due  the  hospital 54             71 

Additions  and  improvements,  special  fund  estimates  for 178,  203 

Administration    department,   State    hospitals,  classification 

and  wages 50            64 

Admission  of  patients.     (See  also  commitment),  application 

for 82             79 

88  90 

for  persons  not  suitably  cared  for 86             85 

poor  and  indigent 82             79 

costs 84             83 

86  86 

dangerous  insane 82             80 

examination  preliminary  to 81             78 

New  York  City,  patients  from 12             47 

order  for 80             78 

papers  to  accompany 82             80 

private,  to  State  hospitals 7 

records  of 15             48 

by  Commission 15             48 

by  superintendent 45,  11             60 

requirements 82             80 

review  of  proceedings 83             82 

to  State  hospital  in  district 87             88 

under  special  agreement 89             90 

voluntary  patients ' 99             95 

Advertisements  relating  to  State  hospital  buildings  deter- 
mined by  Commission 65            76 

Agents  for  securing  reimbursement  for  support  of  insane 85            85 

Agreement  between  New  York  and  Massachusetts ,     164 

Agricultural  law,  amendment  relative  to  State  farms  and  in- 
stitutions, Chap.  211,  L.  1917 138 

amendment  to  relative  to  use  of  condensed  milk,  L.  1920.  161 

Alien  and  non-resident  patients,  report  of. ...... 190,  294 


248  INDEX 

SEC.        PAGE 

Alien  insane- 
Immigration  law 162 

removal  of,  legislation  for 6            44 

transfer 96             94 

Alienists,  Board  of.    See  Bureau  of  Deportation 19            49 

Allowance,  ration 176,  230 

Almshouses,  power  of  Commission  to  visit 92             92 

Amityville.      (See    Knickerbocker    Hall,   and    Long    Island 

Home,  p.  34.) 
Annual  report— 

of  Commission 11             47 

to  include  statement  of  trust  funds 7,    2             45 

of  managers  of  State  hospitals 43,    6            57 

of  superintendents 45,  10             60 

of  treasurer 52,    7             70 

Annuities  paid  from  retirement  fund 112             98 

Application  blanks  for  retirement 121           102 

Application  for  order  of  commitment 82            79 

Appropriations — 

annual  appropriation  bill 221 

for  buildings,  unexpended  balance  may  be  used  to  com- 
plete other  work 65             77 

for  construction,  improvements,  repairs  and  equipments 

at  various  State  hospitals 223 

for  new  buildings  at  Marcy  site 135 

for  new  building  at  Middletown 135 

reappropriations ^ 231 

summary  of 239 

Arrangement  for  exchange  of  insane  between  New  York  and 

Massachusetts 164 

Arrest  of  apparent  insane 88             90 

Assistant  auditor,  name %  3 

Assistant  physicians- 
duties  in  absence  of  superintendent 45             58 

families,  supplies  for 49             63 

qualifications 45,  2             59 

salaries  of 171 

to  reside  in  hospital 45,  2            59 

Assistant  principals  of  training  achools,  salaries  of 173 

Assistant  secretary,  name 4 

Assistant  social  workers,  salaries  of 173 

Assistant  statistician,  name 4 

Assistant  steward,  salaries  of 172 

Astoria.    See  Rivercrest 36 

Asylums,  private,  directory 28 

inspection  of,  by  Commission 6             44 

by  Commission  or  medical  inspector.. 9            46 

license  for 59             73 

maintaining,  without  license  a  misdemeanor 158 


INDEX  249 

SEC.        PAGE 

Attendants,  may  be  disapproved  by  Commission 87            88 

classification  and  wages 50             65 

gifts  or  supplies,  not  to  receive 56            72 

may  live  outside 49             63 

special  policemen,  duties  as 45,  4             60 

training  school  for 45,7            60 

162 

transfer  of  patients  to  State  hospitals 87            88 

wages : 50             63 

increase 50            63 

Attorney-General,  investigation  by  deputy 92            92 

proceedings  for  acquiring  real  estate  for  hospitals 64             75 

Attorneys  for  State  hospitals,  manager  or  officer  not  to  act  as.  56            72 

Auburn.    See  Pines,  The.. 36 

Auditor,  name 3 

assistant 3 

information  to  be  sent  to 178,  202 

monthly  report  of  hospital  population,  to  be  submitted  to.  178,  203 
report  of  inventory  of  maintenance  supplies  at  close  of 

year  to  be  submitted  to 178,  203 

report  of  quarterly  consumption  of  farm  products  to  be 

sent  to 203 

BAKERY  service,  State  hospitals,  wages 50            65 

Bank  balances,  steward's  statement  of r             179 

Beacon.     See  Dr.  Bolton's  Home  27;  also  Craig  House 31,  32 

Beekman,  lands  to  be  under  control  of  commission 159 

Bids  for  State  hospital  buildings 65            76 

for  supplies,  lowest  to  be  accepted 56            72 

Binghamton.    See  Dr.  Lyon's  sanitarium 34 

Binghamton  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 223 

directory 8 

Blank  forms  for  hospitals,  to  be  uniform 10            47 

Blanks,  application  for  retirement 121           102 

Bloomingdale  Hospital,  White  Plains 29 

Board  of  alienists.    See  Bureau  of  Deportation 19            49 

Board  of  managers 41             55 

actions  against 58            73 

appointment  and  removal 42            55 

contracts,  not  to  be  interested  in 56            72 

gifts  or  supplies,  not  to  receive 56            72 

meetings 43,  4            57 

with  Commission 8             46 

not  to  act  as  attorney  for  hospital 56            72 

powers  and  duties 43            56 

books  of  record 43,3             55 

buildings,  examination  of  plans  for 65            76 


25o  INDEX 

SEC.        PAGE 

Board  of  managers,  (continued) 

inspection  of  hospital 43,  2             56 

investigate  charges  against  State  hospital  officials. ...  43,  7             57 

report,  annual 43,  6             57 

report  on  inspection  of  hospital 43,  2             56 

superintendents  of  hospitals,  approval  of  appointment  44             57 

removal  of 44             58 

suspension  of 44             58 

president 43             56 

secretary.. 43             56 

terms  of  office 41             55 

Bolton's  Home,  Dr.,  Beacon /. 29 

Bond's  House,  Dr.,  Yonkers 30 

Bonds,  not  to  be  required  of  public  service  corporations  for 

contracts  in  certain  cases 65             76 

Books  of  record- 
case  books 90             91 

Commission  to  keep 15             48 

in  State  hospitals,  uniform 10             47 

managers  to  keep 43,    3             57 

superintendents  to  keep 45,  11             60 

Breezehurst  Terrace,  Whitestone 30 

Brigham  Hall  Hospital,  Canandaigua 31 

Brooklyn  State  Hospital — 

appropriations  in  annual  appropriation  bill,  L.  1920 224 

for  buildings  at  Creedmoor 159 

directory 9 

resident  steward  to  become  steward  . . .'•;' 47             62 

special  provisions  relating  to ; 46          -61 

Brooks'  House,  Dr.,  Rye 31 

Buffalo.    See  Providence  Retreat 36 

Buffalo  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 224 

directory 10 

Building    department,    State    hospitals,    classification    and 

wages 50             66 

Buildings- 
private  institutions  for  insane 59             73 

religious  corporations 6             44 

State  hospitals,  appropriations  for 65             76 

contracts 65             76 

erection,  alteration,  repairs  and  improvements 65            76 

estimated  cost 17             49 

examination  by  Commission 6            44 

fire  protection,  L.  1895 122 

plans  for 65             76 

superintendent  to  have  supervision  of 45             58 

Buildings  and  engineering  department,  inspector 4 

Bureau  of  Deportation,  directory 5 


INDEX  251 

SEC.        PAGE 

Bureau  of  Deportation,  information  to  be  sent  to 190,  204 

powers  and  duties 19             49 

By-laws,  rules  and  regulations  for  officers,   employees,  etc., 

of  State  hospitals 45,  12  61 

CANANDAIGUA.     See  Brigham  Hall  Hospital 31 

Capacity  of  State  hospitals,  Commission  to  report  on 11             47 

table  of 245 

Case-books 45,  11  €0 

entries  in 90             91 

evidence  in  habeas  corpus  proceedings 93             92 

Census,  June  1, 1919 7 

Central  Islip  State  Hospital — 

appropriations  in  annual  appropriation  bill,  L.  1920 225 

commitment  of  patients  to 12             47 

directory 11 

district 12             47 

established 46             61 

managers 42             55 

resident  steward  to  become  steward 47             62 

special  provisions  relating  to 46             61 

Central  Supply  Committee- 
act  creating. . ... . 149 

powers  and  duties  of -  150 

Central  Valley.     See  Dr.  MacDonald's  House 35 

Certificates  of  lunacy... 80,81  78 

accompany  petition 80             78 

dangerous  insane 82             81 

Chief  engineers,  reports  of 205,  206 

City  officers,  duties  regarding  insane ;  87             86 

Civil  State  hospitals,  directory 9 

Classification  of  mental  diseases 217 

Clothing  furnished  to  patients  on  commitment,  cost  of 84             83 

duties  of  local  officers 87            86 

on  discharge 95             94 

Code  of  criminal  procedure,  extracts  from 156 

Collection  attorney,  information  to  be  furnished  to 179,  203 

Collins.    See  Gowanda  State  Homeopathic  Hospital 13 

Combes'  Sanitarium,  Dr.,  Corona    31 

Combustibles,  storage  and  use  of 122 

Commission,  defined 2             42 

monthly  reports  of    communicable   diseases  to  be  sub- 
mitted to 192,  204 

monthly  report  of  discharged  patients  to  be  sent  to 193,  204 

monthly  report  of  movement  of  patients  to  be  submitted 

to 177,  202 

statistical  information  to  be  submitted  to 177,  202 

Commission,  Hospital  Development  (see  Hospital  Develop- 
ment Commission) 133 


252  INDEX 

SEC.        PAGE 

Commission  to    examine  insane  person  in  confinement,  ap- 
pointment of  and  duties 156 

Commissioner  of  Agriculture— 

to  examine  food  products 138 

to  supervise  farms 139 

Commissioners   in   lunacy.      See    State    Hospital    Commis- 
sioners   42 

Commitment  of  insane 80            78 

costs  of 84            83 

86  86 

dangerous  insane 82            81 

88  89 

defendant 157 

examination  preliminary  to 81             78 

expenses  where  patient  is  found  sane  or  not  committed. . .  88a           90 

inebriates  173           116 

New  York  city,  patients  from 12            47 

order  for 80            78 

application  for . 82            79 

88  90 

for  persons  not  suitably  cared  for , 86            85 

poor  or  indigent 87            86 

papers  to  accompany 82            81 

records  of,  by  Commission 15            48 

by  superintendent 45, 11             60 

requirements 82            79 

review  of  proceedings ...  83            82 

to  jail  prohibited 87            88 

to  State  hospital  in  district 87            88 

Committee,  Central  Supply  (see'Central  Supply  Committee)..  149 

Committee  of  person  and  property,  appointment  of,  L.  1895. . .  123 

bonds  in  proceedings  for  the  disposition  of  real  property.  127 

care  of  harmless  insane 82            80 

compensation  of,  L.  1915 133 

inventory  and  account,  L.  1915 130 

powers  and  duties  of 88            90 

L.  1914 149 

security  to  be  given  by,  L.  1915 128 

Communicable  disease,  report  of  new  cases  of 192,  204 

Communications  with  patients 145           109 

163  114 

Commutation  for  board  and  lodging  of  employees 50            63 

175 

Commutation  ticket  fund 51             68 

Complaints,  investigation  of 43,  7             57 

Comptroller,  State,  member  retirement  board 119           102 

form  of  accounts  and  contracts  to  be  prepared  by 143 

powers  and  duties  of,  re.  contracts 144 

Condemnation  of  property  for  State  hospitals 64            75 

Condensed  milk  containing  oil,  use  of,  L.  1920 161 


INDEX  253 

SEC.  PAGE 

Conferences  of  superintendents  with  Commission 48  62 

Confinement,  persons  in,  when  insane,  L.  1910 141 

unlawful  of  idiots  and  insane  persons 158 

Contracts,  State  hospital  buildings 65  76 

liability  of  State  for . . . 65             77 

supplies. 56  72,  151 

officers  not  to  be  interested  in 56  72 

to  be  approved  by  and  filed  in  office  of  State  Comptroller,  144 

Contracts  for  State  hospital  supplies. 187 

Convicts,  insane,  discharge  of 139  107 

160  113 
on  recovering,  transfer  to  prisons 140           107 

161  114 

restrictions  on  superintendents,  in  regard  to 94             93 

retention  of,  after  terms  expire 159           113 

State  hospitals  for 130           103 

150  110 

Convicts,  transfer  of 185 

transfer  to  Matteawan  State  Hospital 138  106 

142  108 

under  sentence  of  death,  L.  1910 139 

Corona .  See  Dr.  Combes'  Sanitarium 31 

Correspondence,  of  insane A 10  46 

of  patients 181 

•with  other  State  departments 206 

Cost  of  any  commission  in  lunacy 157 

Counsel,  name 4 

Craig  House,  Beacon - 32 

Creedmoor,  appropriation  for  buildings  at,  L.  1920 159 

Criminal  code,  extracts  from 156 

Criminal  liability , 158 

Criminals,  insane.  See  convicts. 

DANGEROUS  insane,  apprehension  and  confinement 88             90 

commitment 82            81 

order  of,  refusal  of  judge  to  grant 83             88 

Dannemora  State  Hospital- 
communications  with  patients 163           114 

convicts — 

certificate  of  conviction  to  be  delivered  to  medical 

superintendent 162           114 

discharge  of,  after  expiration  of  term 160           113 

retention  of,  after  expiration  of  term 159           113 

transfer  to  prison  on  recovery  of 161           114 

directory 25 

establishment  and  purpose 150           110 

medical  superintendent , +. 152           1 10 

as  treasurer  of 153           110  . 

certificate  of  conviction  to  be  delivered  to 162           114 


254 


INDEX 


SEC.        PAGE 


Dannemora  State  Hospital,  (concluded) 

powers  and  duties , 155           111 

removal  of 157           112 

monthly  estimates 156           112 

officers 25 

patients,  communicating  with 163           114 

salaries  of  resident  officers. 154           111 

superintendent  of  State  prisons  to  make  rules  and  regu- 
lations for 151           110 

transfer  of  prisoners  in  State  prisons,  reformatories  and 

penitentiaries  to 158           112 

Dansville.     See  United  States  Public  Health  Service  Hospital  38 
Deceased  patients — 

record-of 15,  4             48 

sale  of  unclaimed  property  of 98             94 

Defendant,  commitment  and  detention  of  insane 158 

Definitions 2             41 

Dentists,  salaries  of 171 

Deportation,  bureau  of.     See  Bureau  of  Deportation 19             49 

Deportation  of  alien  insane,  U.  S.  immigration  law 163 

Directors  of  clinical  psychiatry,  salaries  of 170 

Discharge  of  employees 45    176,  204 

of  insane f. 94             92 

record  of 15,  3             48 

of  person  imprisoned  or  restrained  in  his  liberty,  act  rela- 
tive to 144 

Discharged  patients,  care  of 94,  3             93 

clothing  and  money  furnished  to 95             94 

personal  property,  sale  of  unclaimed 98             94 

report  of 176,  204 

Dispensaries  in  connection  with  State  hospitals. 45,  lla           61 

Districts,  State  hospital 12             47 

changes  in 13             47 

Domestic  service,  wages 50             65 

Drug  addicts,  commitment  of 191 

Drunkards.     See  also  inebriates 116 

committee  of  person  and  property,  L.  1895 123 

real  estate,  partition  and  sale,  L.  1905 129 

Duties— 

of  committee  and  others  to  care  for  insane 88             89 

of  local  officers  in  regard  to  insane 87            86 

ELECTRICAL  engineers,  classification  and  wages 50            66 

Emergency  commitments 82             81 

Emergency  fund,  State  hospitals 51             68 

Employees,  in  State  hospitals,  all- 
classification 49             62 


INDEX  255 

SEC.        PAGE 

Employees — 

commutation  for  board  and  lodging  of 175 

date  of  employment  of 176 

discharge  of 45      59,  176 

to  be  reported  to  Commission 198,  204 

families,  supplies  for 49             62 

general  rules  relative  to 174 

gifts  or  supplies,  not  to  receive 56             72 

hours  of  labor,  L.  1913 145 

increase  of  wages  of 176 

laundry  allowance  of 175 

may  live  outside 49             63 

number  of 176 

privileges  allowed  to .'»  50             63 

probationary  service  of 175 

re-employment  of 176 

report  of  dismissal  of 198,  204 

retirement ,  111            98 

definition 109             96 

for  disability  caused  by  injury 113             99 

forfeiture  of  right  to  annuity  by  default  in  making 

contributions 117           101 

payments  in  case  of  death 116           1 01 

repayments  where  retirement  is  without  fault  of  em- 
ployee   116           101 

temporary  employees 118           101 

rules  and  regulations  governing 43             56 

schedule  of  wages  of 174 

service  records  of 196 

special  policemen,  duties  as 45,  4             60 

table  of 241 

term  of  service,  how  computed 114             99 

training  school  for 45,  7             60 

transfer  of 176 

uniforms  prescribed  for 193 

vacations  and  absence  from  duty  of 174 

vaccination  of 188 

wages 49             62 

50  63 

Employees'  families,  supplies  for  members  of 175 

Employment,  date  of. 176 

Engineer's  department,  State  hospitals,   classification    and 

wages 50             66 

Epileptics,  commitment  to  State  hospitals 80             78 

discharged  from  State  hospitals 94,  3             93 

immigrants 19             49 

Escape  of  patients 45,  4             60 


256  INDEX 

SEC.  PAGE 
Estimates,  of  expenses  for  State  hospitals,  Commission    to 

report  upon 11  47 

quarterly 51  68 

to  be  submitted  to  auditor 176 

to  legislature,  concerning  number  of  patients 17  49 

Examinations  of  institutions,  by  Commission 6  44 

8  45 

by  managers 43,  2  56 

by  medical  inspector 4  43 

of  private  institutions 8  45 

9  46 

by  special  examiners 6  44 

Examiners,  in  lunacy 80,  81  78 

fees 84  84 

of  immigrants. 19  49 

of  insane  convicts 138  106 

record  of 14  48 

Examining  physicians — 

appointment  of '.'.' 148 

compensation  of 148 

may  be  sworn  as  a  witness 148 

Execution  of  papers  by  Commission 5  44 

Expenditures,  State  hospitals- 
apportionment  of  general  expenses 51  69 

classified  estimates   of,  to  be    submitted    for    quarterly 

periods 

monthly  statement 53 

per  capita 

quarterly  estimates 51 

Expenses  incurred  in  sending  defendant  to  asylum 

Experts,  Commission  may  employ 4 

Explosives,  storage,  and  use  of . 

FAMILIES,  of  officers,  denned 49             62 

169 
Farm  and  grounds  department,  State  hospitals,  classification 

and  wages 50             67 

Farm  census,  to  be  submitted  to  auditor  annually 178,  203 

Farm  products,  report  of  quarterly  consumption  of,  to  be 

submitted  to  auditor. 203 

Farms- 
Commissioner  of  Agriculture  to  supervise,  I/.  1917 138 

purchase  of,  to  be  approved  by  Commissioner  of  Agricul- 
ture.   139 

Federal  legislation  re.  alien  insane,  Commission  to  secure —  44 
Feebleminded- 
commitment  to  State  hospitals 80             78 

segregation  of  .'.' .- 136 

Fees  of  examiners  and  witnesses 84             84 


INDEX  257 

SEC.        PAGE 

Final  order  for  discharge  of  prisoner  or  patient 144 

Finances,  State  hospitals 52             69 

accounts  of  State  hospitals 45,  9             60 

furnished  treasurer  by  steward 55,  3             71 

estimates  of  expense  for  State  hospitals,  Commission  to 

report  upon 11             47 

quarterly i 51             68 

to  legislature,  concerning  number  of  patients 17             49 

statistical  report  of,  to  be  submitted  at  close  of  year 204 

Financial    department,    State    hospitals,    classification    and 

wages 50t             64 

Financial  statement,  receipts  and  expenditures 53             70 

Fire  alarm  systems  and  fire   extinguishing  equipment,    in- 
stallation and  maintenance  of 122 

escapes,  construction,  maintenance  and  regulation  of 122 

prevention  and  protection  against,  L .  1895 '.'. 122 

First  assistant  physicians,  salaries  of 170 

Fiscal  year,  changes  in,  Chap.  118,  L.  1916 153 

Flushing.     See  Sarif ord  Hall 37 

Food  products,  Commissioner  of  Agriculture  to  examine 138 

Food  supplies  for  officers  and  employees 49             62 

Forfeiture  of  right  to  annuity  by  default  in  making  contribu- 
tions (retirement  fund) 117           101 

Forms  authorized  for  use  in  State  hospitals- 
administration  207 

medical 210 

steward. 212 

GENERAL  orders  of  Commission,  to  be  filed  in   separate 

binder 167 

General  rules  relative  to  employees „"„, .  174 

General  statement  of  the  State  hospitals 240 

Genesee  Sanitarium,  Syracuse 32 

Gifts,  of  property  for  insane 64             75 

to  State  hospitals 7,  2             45 

Gifts  or  supplies,  officers  not  to  receive -. 56            72 

Glenmary,  Owego 32 

Goshen .     See  Interpines 33 

Governor,  appointments  and    removals    of    State    Hospital 

Commissioners  3             43 

managers  of  State  hospitals,  appointment 41             55 

42  55 

inspection  of  records  of 43,3            57 

removal 42             55 

person  under  sentence  of  death  but  insane,  duty 140 

plans  for  State  hospital  buildings,  approval  of 17             49 

65  76 

salaries  of  officers,  approval  of 49.            62 


258  INDEX 

SEC.        PAGE 

Gowanda  State  Homeopathic  Hospital — 

appropriations  in  annual  appropriation  bill,  L.  1920 226 

commitment  to 87             88 

directory 13 

managers 42             55 

Grants  to  State  hospitals 7,  2             45 

for  maintenance  of  insane 64             75 

Greenmont-on-the-Hudson 33 

Guardians,  appointment  of,  Chap.  440,  L.  1916 128 

HABEAS  corpus 93             92 

Harmless  insane 82             80 

Harrison.     See  St.  Vincent's  Retreat 37 

Health  officers,  care  of  insane  pending  commitment 87             86 

compensation 84             84 

88a          90 

supervision  of  insane  not  in  State  hospitals 88             90 

to  apply  for  commitment 86             85 

Homeopathic  hospitals,  commitment  to 87             88 

superintendent  and  physicians 44             57 

Homeopathic  treatment 168 

Hospital  attorney,  manager  or  officer  not  to  act  as 56.            72 

Hospital  Commission.     See  State  Hospital  Commission. 
Hospital  Development  Commission — 

act  creating,  L.  1917 133 

amendment  to,  L.  1918 136 

expenses  of 134 

powers  and  duties  of 134 

Hospital  districts 167 

Hospital  population,  monthly  statement  of,  to  be  submitted 

to  auditor 178,  203 

Hospitals,  total  and  per  capita  cost  of  maintenance 242 

Hours  to  constitute  a  day's  work 145 

Hudson  River  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 226 

directory 14 

IDIOTS,  commitment  to  State  hospitals  forbidden 80  78 

committee  of  person  and  property,  L.  1895 123 

discharged  from  State  hospitals 94,  3  93 

immigrants,  examination  of 19  49 

real  property,  partition  and  sale,  L.  1905 129 

Immigrants,  insane 19  49 

removal  of 6  44 

19  50 

transfer 96  94 

Immigration  law,  extracts  from 162 


INDEX  259 

SEC.        PAGE 

Incompetents,  committee  of,  appointment 123 

care  of  harmless  insane 82             80 

duties 88            89 

powers  and  duties,  L.  1914 146 

inventory  and  account,  L.  1915 130 

real  property,  partition  and  sale  of,  L.  1905 129 

Increase  in  wages  of  employees 50             63 

Indians,  insane 97             94 

Indigent  insane — 

accommodation  for 17             49 

care  and  support 85             84 

commitment,  costs  of 84             83 

denned 2             41 

discharged  from  State  hospitals 94,  3             93 

local  officers,  duties  of 87             86 

maintenance...                                                 125 

126 

State  hospitals  for 40            54 

transfer , 96             94 

Industrial    department,    State    hospital,    classification     and 

wages 50            67 

Inebriates — 

commitment  of 173           116 

application  for  order  of 174           117 

review  of  order  of 175           118 

committee  of  person  and  property,  L.  1895 123 

habeas  corpus  proceedings 176           118 

real  property,  partition  and  sale  of,  L.  1905 127 

Insane- 
admission,  date  to  be  recorded 15             48 

under  special  agreement 89             91 

voluntary  patients 99             95 

alien,  (see  alien  insane) 

apparent,  arrest  of , 88             90 

care  of,  by  relatives  or  committee ; 82             79 

inquiry  into 86             86 

investigation  of 92             91 

certificate  of  lunacy '. .  80,  81 

to  accompany  petition 82             79 

commitment.     See  commitment  of  insane. 

committee  o'f  person  and  property,  appointment  of 123 

care  of  harmless  insane 82             80* 

duties  of,  to  care  for 88             89 

inventories  and  accounts 130 

convicts.     See  convicts,  insane. 

correspondence  of  insane .• 10             46 

criminals.    See  convicts,  insane. 

dangerous,  apprehension  and  confinement 88  90 


26o  INDEX. 

SEC.        PAGE 
Insane,  (continued) 

commitment 82  80 

refusal  of  judge  to  grant  order  for  commitment 83  83 

death  of,  reports 15,  4  48 

deceased,  sale  of  unclaimed  personal  property 98  94 

discharge  of 94  93 

discharged,  care  of 94,  3  93 

clothing  and  money  furnished  to , 95  94 

from  licensed  institutions 94,  4  93 

personal  property,  sale  of  unclaimed 98  94 

dispensaries  for,  in  connection  with  State  hospitals 45,  lla  61 

duties  of  local  officers  in  regard  to 87  86 

escape  of 45,  4  60 

examination  of  patients  in  State  hospitals  by  Commission,  8  45 

medical  inspector 4  43 

superintendent. . . . 45,  1  64 

gift  for  maintenance 7,  2  45 

habeas  corpus  proceedings 93  92 

harmless . ".............. 82  80 

homeopathic  care.  .*. '.'.'.', 87  88 

immigrants,  examination  of 19  49 

removal  of ....  6  44 

transfer 96  94 

Indians ;......... 97  94 

indigent.    See  poor  and  indigent. 

information  relating  to,  to  be  given  Commission  by  super- 
intendent  16  48 

institution,  defined ..'....... 2  41 

investigation  into  care  and  treatment  of 92  91 

jails,  not  to  be  confined  in 87  88 

liability  for  care  and  support  of. . . 86  86 

maintenance.    See  maintenance  of  insane. 

meeting  of  superintendent  and  me'dical  staff  to  consider 

condition 45,  8  60 

non-resident 19  49 

removal 6  44 

19  50 

transfer 96  94 

number  in  hospitals,  estimated 17  49 

orders  for  commitment  of 80  78 

parole  of . .  94,  3  93 

pending  commitment,  care  of 87  88 

*         person  in  confinement,  L.  1910 139 

under  sentence  of  death^  L.  1910. 139 

poor  and  indigent- 
accommodations  for 17  49 

care  and-support  of,  liability  for. .".-.-.- .' 85  85 

defined 2  41 

discharged  from  State  hospitals 94,3  93 


INDEX  261 

SEC.        PAGE 
Insane,  (concluded) 

Jocal  officers,  duties  of 8?             86 

maintenance 125 

126 

transfer 96             94 

private  patients,  admission  to  State  hospitals 7 

89  91 

revenue  from 52,  3             69 

proceedings  to  determine  the  question  of  insanity 82             79 

proceedings  when  person   in  confinement  appears  to  be 

insane 189 

real  property,  partition  and  sale,  L.  1905 129 

record  of,  kept  by  Commission 15             48 

clinical 45,    8             60 

in  State  hospitals 45,  11             60 

casebook 90             91 

relatives.     See  relatives  of  insane. 

review  of  proceedings,  commitment. 83             82 

service  of  legal  process  on 179 

temporary  provision  for 91             91 

transfer,  costs 85             84 

86  86 

from  home  to  State  hospital 82             79 

by  trained  attendants 87             88 

from  one  State  hospital  to  another 46             62 

non-resident  patients. 96             94 

from  overcrowded  hospitals. 91             91 

voluntary  patients,  in  private  institutions 99            95 

in  State  hospitals 99             95 

Insanity  law 41 

Insanity  of  person  under  sentence  of  death,  L.  1910 139 

Insanity,  proceedings  to  determine  the  question  of 82             79 

Inspection,  of  institutions  by  Commission 6             44 

8  45 
188 

by  managers 43,  2             56 

by  medical  inspector 4             43 

of  private  institutions 8             '45 

9  46 
Inspector- 
name 4 

dairy,  name 4 

medical,  name • 4 

duties 4             43 

of  buildings,  name 4 

Inspectors 4             43 

Institutions,  defined 2             41 

for  care,  treatment  and  custody  of  insane 53 

to  furnish  information  to  Commission 16             48 

See  also  private  institutions;   State  hospitals. 


262  INDEX 

SEC.        PAGE 

Insurance,  State  hospitals 17             49 

I  nterpines,  Goshen .         33 

Inventory  and  account  of  committee    of  incompetent   per- 
son, L.  1915. 130 

Inventory  of  supplies  on  hand,  to  be  submitted  to  auditor. . . .  178,  208 

Investigations 43,7             57 

92  91 

JAILS,  insane  not  to  be  confined  in 87             88 

Judge,  apprehension  and  confinement  of  dangerous  insane. ..  88             90 

commitment  of  insane.              80             78 

82  79 

discharge  of  patients 94,  3             93 

to  serve  notice  on  insane 82             79 

KELLOGG'S  House,  Dr.,  New  York  City 33 

Kings  Park  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 227 

directory 16 

district 12             47 

established 46             61 

managers 42             55 

resident  steward  to  become  steward 47            62 

special  provisions  relating  to , 46             61 

Kitchen  service,  State  hospitals,  classification  and  wages 50             65 

Knickerbocker  Hall,  Amity ville 34 

LABOR,  hours  of,  State  hospital  employees,  L.  1913 145 

Lands,  acquired  by  condemnation 64             75 

Laundry  allowance  of  employees 175 

Laundry  service,  State  hospitals,  classification  and  wages 50            66 

Laws  repealed,  list 190           119 

Legal  department 6 

Legal  papers,  notice  of  when   served,  to  be  submitted  to  col- 
lection attorney 179,  208 

Legal  process,  service  of,  on  insane  patients 179 

Letters  of  insane v. 10             46 

Liability  for  care  and  support  of  indigent  insane 85             84 

actions  at  law,  L.  1898 124 

of  estate,  for  support  of  patients 84             84 

of  relatives,  for  support  of  dependent  insane 86             86 

State  a  preferred  creditor 86             86 

Libraries  for  State  hospitals 51             68 

Licensed  institutions 27 

patients,  discharge  of,  from 94,  4             93 

parole  of 94,  4             93 

Local  officers,  duties  of,  in  regard  to^insane 87             86 

Long  Island  Home,  Amityville 34 


INDEX  263 

SEC.        PAGE 

Long  Island  State  Hospital— (See  Brooklyn  State  Hospital) 

Lyon's,  Sanitarium,  Dr.,  Binghamton 34 

MACDONALD'S  House,  Dr.,  Central  Valley 35 

McFarland's  Sanitarium,  Dr.  (see  Spring  Hill  Sanitarium)  ...  38 

Maintenance  of  insane,  accounts 55,  3  71 

action  to  recover  for.. 54  71 

cost,  rate  fixed  by  Commission 85  85 

gifts  to  State  hospitals,  for 7,  2  45 

other  than  poor  or  indigent 88  90 

89  91 

poor  or  indigent 85  85 

L.  1898 125 

property  for 64  75 

relatives  liable  for 86  86 

L.  1898 125 

security  required  for  when  admitted  under  special  agree- 
ment    1 95 

State  hospitals,  appropriations  for 221 

total  and  per  capita  cost  of  in  State  hospitals 242 

Maintenance  supplies,  inventory  of,  to  be  submitted  to  auditor,  178,  203 

Mamaroneck.     See  Waldemere 39 

Managers  of  State  hospitals 41  55 

actions  against 58  73 

appointment  and  removal 42  55 

attorney  for  hospital,  not  to  act  as 56  72 

contracts,  not  to  be  interested  in 56  72 

gifts  or  supplies,  not  to  receive 56  72 

meetings 43,  4  57 

with  Commission 8  46 

48  62 

powers  and  duties 43  56 

books  of  record 43,  3,  5  57 

buildings,  examination  of  plans  for 65  76 

inspection  of  hospital 43,  2  56 

investigate  charges  against  State  hospital  officials. ...  43,  7  57 

report,  annual j.  11  47 

43,6  58 

report  on  inspection  of  buildings 43,2  56 

superintendents  of  hospitals,  approval  of  appointment,  44  57 

removal  of 44  58 

suspension  of 44  58 

president 43  56 

removal  of 42     *        55 

secretary 43  56 

terms  of  office 41  55 

-  to  reside  in  hospital  district 42  55 


264  INDEX 

SEC.  PAGE 

Manhattan  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 .....  227 

dead  bodies,  removal  ot. 63  75 

directory 18 

docks,  etc 63  75 

established 46  61 

lease  of  property 62  74 

marine  service . . 50  67 

resident  steward  to  become  steward 47  62 

specia:  provisions  relating  to...... ! 46  61 

Manufactures  in  State  hospitals 56  72 

Marcy  site,  contracts  for  new  buildings  at 134 

Marine  service . . . . " 50 

•  9  Marshall  Sanitarium,  Troy 35 

Massachusetts,  arrangement  with 164 

Matrons,  to  reside  in  hospital 45, 2  59 

salaries  of . 172 

Matteawan  State  Hospital — 

certificate  of  conviction  to  be  delivered  to  superintendent 

of -.....• 141  108 

communications  with  patients 145  109 

convicts  on  recovery  to  be  transferred  to  prison 140  107 

directory.. . ..'... 26 

disposal  of  insane  convicts  after  expiration  of  term  of 

imprisonment 139  107 

establishment  and  purpose. 130  103 

medical  superintendent,  appointment  of 132  104 

as  treasurer  of 133  104 

monthly  estimates  of 136  106 

powers  and  duties  of . ... Y .."  135  105 

removal  of 137  106 

tenure  of  office  of 144  109 

patients- 
authority  to  recover  for  support  of 143  108 

communications  with 145  109 

resident  officers,  salaries  of 134  104 

superintendent  of  State  prisons  to  make  rules  and  regula- 
tions for 131  104 

transfer  of  insane  convicts  to 138  106 

transfer  of  patients  to,  from  State  hospitals 142  108 

Meat  cutters,  in  State  hospitals,  wages 50  65 

Mechanics,  act  in  relation  to,  L.  1913 145 

Medical  and  dental  internes,  salaries  of 172 

Medical  examiners  in  lunacy 81  78 

fee's 84  84 

88a  90 

of  immigrants 19  49 

insane  convicts 138  106 

record  of...                                                  14  48 


INDEX  265 

SEC.        PAGE 

Medical  inspector 4             4tJ 

duties  in  relation  to  State  hospitals 189 

examiner  of  Bureau  of  Deportation  may  be  detailed  to 

perform  duties  of 19             51 

name 4 

qualifications 4             43 

visitation  of  private  institutions 9             46 

Medical  staff- 
assistant  physicians,  duties  in  absence  of  superintendent..  45             58 

classification  of 169 

families,  defined 49             58 

food  supplies 49             62 

gifts  or  supplies,  not  to  receive 56             72 

legal  qualifications 45             59 

Medical  superintendents.  See  superintendents  State  hospitals. 

Middletown  State  Homeopathic  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 228 

contracts  for  new  buildings  at 135 

directory 20 

managers 42             55 

Milk  specifications 191 

Monarisic  State  Hospital- 
establishment  of 40a          54 

district 12             47 

Moneys,  due  hospital,  action  to  recover 54            71 

furnished  to  discharged  patients 95             94 

of  State  hospitals,  superintendent  to  have  custody  of 52,1             69 

Municipalities,  cost  of  commitment  to  be  a  charge  against ...  84             84 

officers  to  act  in  committing  insane 87             88 

may  provide  place  for  temporary  confinement  of  insane.  87             88 

NEW  YORK  CITY,  apprehension  and  confinement  of  insane,  88             90 

commitment  of  patients  from 12            47 

dangerous  insane,  care  of 88             90 

fees  of  medical  examiners 84             84 

see  also  Combes,  Dr.,  Sanitarium 31 

Kellogg,  Dr.,  House  of 33 

Manhattan  State  Hospital,  Ward's  Island 18 

River  Crest 36 

West  Hill 39 

New  York  City  asylums  for  insane,  transfer  of 62            74 

Non-resident  insane 19             49 

agreement  between  New  York  and  Massachusetts 162 

legislation  for  removal  of 6             44 

transfer 96             94 

Nurses  and  attendants — 

families,  supplies  for 49            62 

gifts  or  supplies,  not  to  receive 56             72 


266  INDEX 

SEC.        PAGE 
Nurses  and  attendants,' (concluded) 

may  live  outside 49             63 

special  policemen,  duties  as 45,  4             60 

training  i.chool  for 45,  7             60 

uniforms  prescribed  for 193 

wages. 50             65 

OATH  of  office,  State  hospital  officials 57             72 

Occupational  instructors,  salaries  of 173 

Officers,  local,  duties  of,  in  regard  to  insane 87             66 

Officers.    See  also  medical  staff,  physicians,   steward,  super- 
intendent, etc. 
Officers,  State  hospitals- 
actions  against 58             73 

appointment 44            57 

attorney  for  State  hospitals,  shall  not  serve  as 56             72 

charges  against. 43,  7             57 

•classification 49             62 

contracts,  not  to  be  interested  in 56             72 

food  supplies 49             62 

gifts  or  supplies,  not  to  receive 56             72 

inspection  of  institutions  by 188 

may  be  transferred 44             57 

number  of 169 

oath  of  office ; 57             72 

report  of  discharge  of 198,  204 

residence.. 45,  2             59 

retirement Ill            97 

for  disability  caused  by  injury 113            99 

forfeiture  of  right  to  annuity  by  default  in  making 

contributions 117           101 

payments  in  case  of  death 116           101 

repayments    where    retirement    is    without    fault    of 

employee 116           101 

temporary  officers 118           101 

salaries .- 49             62 

50  63 

schedule  of  salaries  of 168 

service  records  of 196 

Official  oath 57             72 

Official  seal : 5            44 

Official  visits 8            45 

Ogdensburg .    See  St.  Lawrence  State  Hospital 22 

Order,  filial,  to  be  conclusive  evidence 144 

Order  of  commitment,  review  of 83            82 

Ossining.    See  Greenmont-on-the-Hudson 33 

Out-patient  departments,  reports  of 205 

Overcrowding  of  State  hospitals,  to  be  relieved  by  transfers.  91            91 


INDEX  267 

SEC.        PAGE 

Overseers  of  poor,  duties  regarding  insane 87             86 

application  concerning  maintenance  of  poor  or  indigent 

insane,  L.  1898 124 

commitment  of  insane,  application  for  order  of.. 82             79 

Owego.    See  Glenmary 32 

PAROLE  and  escape  of  patients 94,  3             93 

185 

Parole  book  to  be  kept  at  hospital 186 

Parole  cards  to  be  filed  at  hospital 186 

Paroled  patients,  records  of. 186 

Pathological  Institute.    See  Psychiatric  Institute. 

Pathologists,  appointment  of 170 

salary 115,  171 

Patients.    See  also  insane — 

admitted  under  special  agreement 89             91 

clothing  and  money  to  be  furnished 95     '        94 

correspondence  of 181 

defined 2             42 

discharge  of : .  94             93 

discharged  during  month,  list  of,  to  be  submitted 176,  204 

information  to  be  given  to,  on  admission 191 

list  of  admitted  during  month  to  be  submitted  to  Bureau 

of  Deportation ? 176,  204 

list  of,  to  be  submitted  to  collection  attorney 179,  -  03 

mechanical  restraint  and  seclusion  of 196 

non-resident 96             94 

parole  and  escape  of. 185 

re-assignment  of,  and  change  of  State  hospital  districts. .  13             47 

record  of 15            48 

report  of  financial  condition  of,  to  be  submitted  to  col- 
lection attorney 179 

sale  of  unclaimed  property,  of  discharged  or  deceased 98            94 

security  required  for  maintenance  of  those  committed 

under  special  agreement 195 

transfer  of,  application  for 185 

transfer  of,  rules  to  be  observed  by  superintendent 183 

transfer  of,  to  be  accompanied  by  attendants 184 

vaccination  of 188 

voluntary 99            95 

when  hospital  is  crowded 9.  91             91 

Payrolls,  State  hospitals,  kept  by  steward 55,  2             71 

steward's  monthly  reports  of,  to  be  submitted  to  treas- 
urer   179,  203 

Penal  law,  extracts  from 157 

Per  capita  cost  of  maintenance 242 

Personal  property,  temporary  custody  of,  of  insane  patients.  100             95 

of  discharged  or  deceased  patients,  sale  of 98            94 


268  INDEX 

SEC.       PAGE 

Petition  for  commitment  of  insane , 80             78 

82  79 

committee  of  person  and  property,  L.  1895 123 

Pharmacists,  salaries  of 173 

Physicians.     See  also  medical  staff,  officers. 

assistant,  duties  in  absence  of  superintendent 45             58 

families,'  supplies  for 49             62 

qualifications. 45,  2             59 

to  reside  in  hospital.. 45,2             59 

"  certificates  of  lunacy  made  by , 81             78 

examining,  appointment  ot 148 

women,  in  State  hospitals 45,  2             59 

Pines,  the,  Auburn 36 

Plans  for  State  hospital  buildings 17             49 

65  76 

Plumbers,  classification  and  wages 50             66 

Policemen,  powers  and  duties  of  employees  who  act  as 45,  4             60 

Poor  and  indigent  insane.     See  indigent  insane. 

Poor,  county  superintendents  of,  duties 87             86 

discharged  patients,  care  of 94,3             93 

Poor,  overseers-.     See  overseers,  poor. 

Poor  person,  defined 2             41 

support  of,  L.  1898 125 

Poor-houses,  power  of  Commission  to  visit 92             92 

Population,    hospital,   monthly    report    to    be  submitted  to 

auditor 178,  203 

Poughkeepsie.     See  Hudson  River  State  Hospital 14 

Powers,  general  as  to  State  hospitals,  of  State  Hospital  Com- 
mission   7             45 

managers,  board  of 43             56 

superintendents 45             58 

Presents,  officers  and  employees,  not  to  receive,  etc 56             72 

Prevention  of  fires 122 

Principals  of  training  schools,  salaries  of « 172 

Prisons,  insane  not  to  be  confined  in 87             88 

Private  institutions,  directory 27 

inspection  of  by  Commission  or  medical  inspector.. 8             45 

9  46 

license  for.... '. .'.  59             73 

maintaining,  without  a  license,  a  misdemeanor.. 158 

to  report  changes  in  population 16              49 

Private  patients,  admission  to  State  hospitals 

revenue  from. 52,  3             69 

Privileges  allowed  to  employees 50             63 

Probationary  service  of  employees .... 175 

Proceedings— 

to  determine  the  question  of  insanity. '. 82             79 

when  person  in  confinement  appears  to  be  insane. 139 

when  person  under  sentence  of  death  is  declared  insane. .  143 


INDEX  269 

SEC.        PAGE 

Property,  committee.      See  committee  of  person  and  prop- 
erty. 

Property  of    insane,  personal,   of    discharged    or    deceased 

patient,  sale  of 98             94 

real,  partition  and  sale,  L.  1905 129 

temporary  custody  of 100             95 

Property  of  State  hospitals,  acquisition  of 64             75 

Proposals  for  State  hospital  buildings 65             76 

for  supplies,  lowest  to  be  accepted 56             72 

Protection  against  fire , 122 

Providence  Retreat,  Buffalo 36 

Psychiatric  Institute 170           115 

director  of,  duties,  etc 172           115 

directory 6 

hospital  and  out-patient  department 172a         116 

maintenance  of 171           115 

medical  staff,  residence  and  maintenance  of ,. .  172           115 

Public  service  corporations,  bonds  not  to  be  required  in  cer- 
tain cases 65             76 

Purchases — 

by   State  departments,   boards  and    commissions    from 

United  States  government,  Chap.  83,  L.  1919 169 

in  State  hospitals 56             72 

made  by  steward 55, 1             71 

of  supplies,  preference  to  be  given  State  product,  L.  1899.  129 

Purchasing  committee,  joint- 
clerical  and  advisory  help 4             43 

directory 5 

duties  of 198 

expenses  of,  apportioned  among  hospitals 4             44 

experts  to  assist.. 4             44 

how  constituted  and  appointed 56             72 

powers  and  duties f 56             72 

report  of  completion  of  contract  to  be  submitted  to 204 

report  of  failure  on  part  of  contractor  to  fulfill  agreement,  204 
to  draw  specifications  and  enter  into  contracts  for  sup- 
plies    198 

to  have  samples  of  supplies  tested 198 

Purchasing  steward,  office  abolished 47             62 

QUARTERS,  employees 49             62 

officers 49             62 

Quarterly  estimates  of  expenditures— emergency  fund 51            68 

RAILROAD  department,  Willard 50             67 

Railroads  through  hospital  lands 66            77 

Rate  for  reimbursing  patients 85            85 

Ration  allowance ...  179 

220 
18 


27o  INDEX 

SEC.        PAGE 

Real  property  of  incompetents,  partition  and  sale  of,  L.  1915.  127 

Receipts,  monthly  statement  of 53             70 

Receipts,  steward's  monthly  reports  of,  to  be  submitted 203 

Recommendations  of  Commission 60             74 

Record  of  patients,  Commission  to  keep 15             48 

managers  to  keep 43,  3             57 

State  hospitals,  in,  examination  of  by  Commission 8             45 

superintendents  to  keep. 45,  11             60 

case  books. 90             91 

Records  to  be  kept  by  State  hospitals- 
administration 198 

medical 199 

steward 200 

Re-employment  of  employees 176 

Registration  districts  for  vital  statistics,  Chap.  321,  L.  1917.. . .  137 

"Regulations  and  forms 10             47 

Regulations,  by-laws  and  rules  for  officers,  employees,  etc. . .  45,  12             61 

Reimbursing  rate 85             85 

Relatives  of  insane,  commitment  of  insane  to,  care  of. .'. 80             78 

duty  to  care  for  insane 88             89 

filing  of  records 82             81 

harmless  insane,  custody  of 82             80 

liability  for  support  of  insane '. ..  85             84 

86  85 

actions  at  law,  L.  1898 125 

maintenance  of  insane  after  discharge 94,  3             93 

Religious  corporations,  buildings  on  hospital  grounds 6             44 

Removal  of  employees 45            59 

of  officers 45             59 

Repatriation 96             94 

Reports — 

accidents,  injuries  and  escapes 182,  203 

annual,  of  operations  of  hospital 202 

to  include  statement  of  trust  funds 7,    2             45 

Commission,  annual ; 11             47 

managers,  State  hospital,  annual 11             47 

43,    6  57 

on  monthly  inspection 43,    2             56 

monthly,  of  movement  of  patients. 177,  202 

statistical 177 

superintendents,  annual 45,  10             60 

monthly  to  managers 43             56 

to  be  submitted  by  State  hospitals 202 

treasurer,  annual 52,    7             70 

yearly,  of  movement  of  patients 177,  202 

Resident  officers.    See  officers,  State  hospitals 

Restraint  and  -seclusion,  mechanical 

quarterly  report  to  be  submitted 

Retirement  board  created.... 7 119 


INDEX  271 

SEC.        PAGE 

Retirement  board  of  State  hospital  employees 6 

Retirement  fund.. 110             96 

contributions  to 115           100 

expenses  of  administration  of 122           102 

payment  in  case  of  death 116           101 

forfeiture  of  right  to  annuity  by  default  in  making  contri- 
butions    117           101 

re-instatement  in 122           102 

repayments  where  retirement  is  without  fault  of  officer  or 

employee 116           101 

temporary  officers  and  employees 118           101 

Retirement  of  officers  and  employees Ill             97 

173 

annuities  paid 112             98 

application  blanks  for 121           102 

custody  and  control  of  fund 110             96 

definition  of 109            96 

for  disability  caused  by  injury 113             99 

fund  created 110             96 

medical  examiners 120           102 

proceedings  for 112             98 

term  of  service,  how  computed 114             99 

Review  of  proceedings  and  order  of  commitment 83             83 

River  Crest,  New  York  City 36 

Riverdale.    See  Dr  Kellogg's  House 33 

Roads  through  State  hospital  lands 66             77 

Rochester  State  Hospital — 

appropriations  in  annual  appropriation  bill,  L.  1920 229 

directory 21 

Rules,  by-laws  and  regulations  for  officers,  employees,  etc. . .  45,  12             61  * 

ST.  LAWRENCE  STATE  HOSPITAL— 

appropriations  in  annual  appropriation  bill,  L.  1920 230 

directory 22 

St.  Vincent's  Retreat,  Harrison 37 

_J»Jalaries  and  wages,  schedule  of 50     Jj3,  64^ 

Salaries,  Bureau  of  Deportation 19             50 

Commissioners,  State  hospital 3             42 

increase  of 169 

medical  inspector 4 

of  assistant  principals  of  training  schools 173 

of  assistant  social  -workers 173 

of  assistant  steward 172 

of  occupational  instructors 173 

of  pharmacists 173 

of  principals  of  training  schools 172 

of  social  workers  or  after-care  agents 173 

of  stewards 172 


272  INDEX 

SEC.        PAGE 

Salaries,  (concluded) 

officers,  State  hospital 49             62 

Psychiatric  Institute,  director  of 172           1 15 

schedule  of  officers' .         168 

Sale  of  real  property,  Laws  of  1905 129 

old  machinery,  etc 7,  1             45 

unclaimed  personal  property  of  patients 98             95 

Sanford  Hall,  Flushing 37 

Schedule  of  salaries  and  wages 50       68,  64 

School  for  trained  attendants 162 

Seal  of  Commission 5             44 

Secretary  of  Commission, 4             43 

attestation  of  papers 5             44 

name 3 

Secretary  of  State,  approval  of  salaries  of  officers 49             62 

Senior  assistant  physicians,  salaries  of 171 

Service  of  legal  process  on  patients — 

personal,  prior  to  com mitment 82             79 

Social  workers  or  after-care  agents- 
reports  of 204,  205 

salaries  of 1?3 

Society  of  New  York  Hospital— See  Bloomingdale  Hospital..  29 

Spring  Hill  Sanitarium 38 

State,  a  preferred  creditor 86             86 

State  Architect,  State  hospital  buildings- 
plans  for 65             76 

powers  in  regard  to 65             76 

State  Charities  Aid  Association,  annual  report 11             47 

nominates  visitors  to  State  hospitals 61             74 

State  Comptroller,  salaries  of  officers  approved  by 49             62 

State  hospital  buildings,  approval  of  contracts  for 65             76 

State  Hospital  Commission,  names 3 

actions  against 58             73 

annual  report 11             47 

appointment  of ,  by  governor 3             43 

appointments  of — 

agents  to  receive  reimbursement. 85             85 

engineers 43 

examiners,  Bureau  of -Deportation 19             50 

medical  inspector 4             43 

superintendents,  State  hospitals 44             57 

appropriations  for 221 

chairman 3             43 

clerical  force 4             43 

control  of  lands  at  Beekman 159 

Commissioners,  appointment  of 3             42 

names 3 

qualifications , 3             42 


INDEX  273 

SEC.       PAGE 
State  Hospital  Commission,  (continued) 

salaries 3  43 

terms  of  office 3  43 

contracts  not  to  be  interested  in 56  72 

defined 2  42 

duties  of  medical  inspector  in  relation  to 189 

engineers,  may  employ 4  43 

execution  of  papers 5  44 

experts,  may  employ 4  44 

forms  authorized  for  use  in 207 

general  powers 6  44 

general  powers  as  to  State  hospitals 7  45 

gifts  or  supplies,  not  to  receive 56  72 

meetings  with  managers 8  46 

with  superintendents 48  62 

names  of  Commissioners 3 

office 4  43 

official  seal . 5  44 

official  visits 8  45 

powers , 6  44 

attendants,  approval  of 87  88 

buildings 65  76 

approval  of  plans  for 17  49 

employment  of  labor  for  erection 65  76 

certificate  of  lunacy  and  petition,  to  furnish  blanks  for.  80  78 
commitment  of  insane,  action  to  recover  costs  and 

charges. 86  86 

application  for  order  of . . . . 86  86 

patients  from  New  York  City , 12  47_ 

rules  for 46.  61* 

correspondence  of  insane 10  47 

discharge  of  patients 94  92 

execution  of  papers 5  44 

expenditures,  revise  estimates 51  68 

immigrants,  insane 19  50 

inspection  of  institutions; 6  44 

private  institutions 9  46 

investigation  into  care  and  treatment  of  insane 92  91 

managers  of  State  hospitals,  records 43,  3  57 

medical  examiners-,  record  of 14  48 

non-resident  insane,  removal 6  44 

transfer 96  94 

official  records  and  blank  forms,  approval  of 10  46 

patients,  record  of 15  48 

poor  and  indigent  insane 17  49 

prospective  wants  of  insane,  to  provide  for 17  49 

rate  of  support  of  insane,  fixed  by .'.'.'.'. . .  85  85 

recommendations  of ...                                                     60  74 

8  46 


274  INDEX 

SEC.  PAGE 

State  Hospital  Commission,  (concluded) 

record  of  medical  examiners 14  48 

record  of  patients 15  48 

regulations  and  forms 10  46 

religious  corporations,  buildings  on  hospital  grounds.  6  44 

report,  annual 11  47 

salaries  and  wages 50  63 

sale  of  property 71  45 

seal 5  44 

secretary 4  43 

5  44 

name 3 

State  hospital  districts 12  47 

change  of  and  re-assignment  of  patients 13  47 

State  hospitals,  powers  as  to 7  45 

acquisition  of  property  for 64  75 

reports 45,  10  60 

steward's  vouchers 53  70 

superintendents,  charges  against 44  57 

supervising  engineer,  plans  prepared  by 65  76 

transfer  of  patients  from  overcrowded  hospitals 91  91 

to  Matteawan  State  Hospital 130  103 

treasurer  of  State  hospitals,  may  designate  person  to 

act  as 44  57 

trust  funds 7,    2  45 

visitation  and  inspection  of  certain  institutions 9  46 

change  of,  and  reassignment  of  patients 13  47 

defined 12  47 

State  hospital  employees,  table  of 341 

State  hospital  retirement  board 6 

State  hospital  system 7 

State  hospitals — See  also  various  main  heads 

acquisition  of  property  for  use  of 64  75 

buildings,  erection,  repairs  and  improvements 65  76 

capacity  of,  table 245 

commitment  of  insane,  order  for 80  78 

contracts 56  72 

emergency  fund 51  68 

employees- 
schedule  of  salaries 50  63,  64 

wages  of 49  62 

50  63,  64 

expenditures,  quarterly 51  68 

general  statement  for  the  year  1919 240 

location 40  54 

maintenance,  total  and  per  capita,  for  year  1919 242 

managers  of 41  55 

powers  and  duties 43  56 

removal  of .  42  55 


INDEX  275 

SEC.        PAGE 

State  hospitals,  employees,  (concluded) 

mechanics  working  in 145 

names  of 40             54 

new,  establishment  of 17             49 

officers- 
appointment  of 44             57 

oath  of  office  of 57             72 

schedule  of  salaries  of 50             64 

poor  and  indigent  insane 40            54 

purchases 56            72 

records  to  be  kept  by 198 

reports  to  be  submitted  by 202 

streets  and  railroads  through  lands  of 66             77 

superintendents,  powers  and  duties  of 45             58 

subpoena  of 147 

to  send  monthly  report  of  discharged  patients  to  Com- 
mission    176.  204 

to  submit  monthly  reports  of  communicable  diseases 192,  204 

to  supply  data  to  Bureau  of  Deportation 192,204 

visitors  to 61            74 

voluntary  patients 99             95 

State  prisons,  superintendent  of — 

Dannemora  hospital,  by-laws  for 151           110 

government  of 151           110 

superintendent,  appointment 152           110 

to  make  rules  and  regulations 151           110 

Matteawan  hospital,  by-laws  for  government  of 131           104 

•            superintendent,  appointment 132           104 

removal 137           106 

State  products,  preference  to  be  given  in  purchase 129 

Statement  of  bank  balances 179 

Statistician,  name 4 

Statistical  data  cards- 
shall  be  forwarded  monthly 177,  202 

to  be  forwarded  to  statistician 177 

Statistical  reports 177,  202 

Statistical  tables 240 

Statistics,  vital,  registration  districts  for 187 

Statutes,  subsidiary  and  unrepealed,  relative  to  insane 122 

Stewards,  accounts  of  patients,  to  keep 55,    3             71 

affidavit  of 53             70 

appointment  of 45,    2             59 

clothing   and    money    to   be    furnished    to    discharged 

patients  by 95             94 

contracts  for  supplies 56             72 

duties  and  powers 55             71 

food  supplies 49             62 

may  receive  money  and  forward  it  to  State  Treasurer 52,    3            69 


276  INDEX 

SEC.        PAGE 

Steward's  accounts  of  patients,  (concluded) 

.      oath  of  office 57  72 

payrolls,  prepare  and  keep 55,    2  71 

powers  and  duties 55  71 

purchases  for  hospital,  to  make 55,    1  71 

purchasing,  abolished 47  62 

removal 45,    2  59 

reports  of  payrolls  to  be  submitted  to  treasurer 179 

reside  in  hospital 45,    2  59 

salaries  of 172 

Steward's  receipts  to  be  submitted  to  treasurer. 178 

Streets  through  hospital  lands . ...  66  77 

Subpoena  (duces  tecum)  requiring  records,  L.  1915 152 

Summary  of  appropriations 239 

Superintendents  of  poor,  duties 87  86 

commitment  of  insane,  application  for  order  of. , 82  79 

discharged  patients,  care  of . .  94,    3  93 

Superintendents  of  State  hospitals — 

absence  from  hospital  of 187,  203 

actions  against 58  73 

appointed  by  Commission.. 44  57 

bond  as  treasurer 44  58 

charges  against 43,    7  57 

44  58 

committee  of,  to  establish  by-laws,  rules  and  regulations.  45,12  61 
duties— See  powers  and  duties. 

food  supplies  for  families 49  62 

meetings,  at  least  once  in  three  months 48  62  « 

with  medical  staff,  at  least  two  weekly. 45,    8  60 

oath  of  office 57  72 

powers  and  duties 45  58 

accounts  and  records  of  hospital ; 45,    9  60 

action  to  recover  moneys  due  hospital 54  71 

alien  and  non-resident  insane 19  50 

annual  report 45, 10  60 

appoint  dentist,  pharmacist  and  principal  of  training 

school 45,    2  59 

appointment  and  discharge  of  officers 45,    2  59 

book  of  record  of  patients 45,11  60 

buildings,  estimates  for 65  76 

buildings  and  grounds,  superintendence  of 45  58 

chief  executive 45  58 

commitment  to  State  hospitals,  notification  of 82  80 

committee  of    person  and  property,   may   present  peti- 
tion for,  L.  1895 123 

commutation  ticket  fund 51  68 

daily  accounts  and  records 45,    9  60 

discharge  of  employees 45,    3  59 

of  patients 94  93 


INDEX  277 

SEC.  PAGE 
Superintendents  of  State  hospitals,  (concluded) 

discipline,  maintain 45,    6  60 

dispensary  or  out-patient  department,  may  establish 45,  lla  61 

employees' wages .' 49  62 

50  63 

estimates,  quarterly  in  triplicate 51  68 

evidence  in  habeas  corpus  proceedings 93  92 

examination  of  patients  within  five  days  of  admission. .  45,    1  59 

expenditures,  estimates  of 51  68 

inspection  of  hospital • 45,    1  59 

maintain  a  training  school 45,-  7  60 

may  make  transcript  of    records  in  compliance  with 

subpoena 147 

medical    certificate   and  order  of  commitment,  to  for- 
ward to  Commission  within  ten  days 16  48 

out-patient  department  or  dispensary,  may  establish...  45,  lla  61 

parole  of  patients 94,    3  93 

patients,  refusal  to  receive 82  81 

record  of 45, 8, 11  CO 

case  book 90  91 

policemen,  special,  designation  of 45,    4  60 

quarterly  estimate  in  triplicate 51  68 

record  removal  of  resident  officers  and  employees 45,    2  59 

removal  of  resident  officers 45,    2  59 

report  to  managers 45,  10  60 

to  State  Hospital  Commission 45,  10  60 

reside  in  hospital 45,    2  59 

salary  of 170 

secure  good  conduct 45,    5  60 

special  policemen,  appointment 45,    4  60 

staff  meetings 45,    8  60 

to  act  as  registrar  of  vital  statistics 137 

to  make  effective  directions  issued  by  Commissioner  of 

Agriculture 139 

to  notify  Commission  of  transfer  of  patients 185 

training  school  for  nurses 45,    7  60 

treasurer  of  State  hospitals 44  58 

duties  as 52  69 

53  70 

voluntary  patients 99  95 

qualifications 44  57 

removal  from  office,  by  majority  of  board  of  managers. .  44  58 

suspension  of,  by  board  of  managers 44  58 

Supervising  engineer  to  prepare  plans 65  76 

Supplies,  contracts  for 187 

estimates  for ; 51  68 

for  officers  and  employees 49  62 

families 49  62 

175 


278  INDEX 

SEC.        PAGE 
Supplies,  (concluded) 

purchase  of 55,  1            71 

56  72 

from  United  States  government,  L.  1919 158 

State  products  preferred,  L.  1899 129 

Purchasing  Committee  to  purchase  by  joint  contract 198 

report  of  estimated   quantities   of,   required  for    period 

covered  by  contract 204 

Support  of  insane,  accounts , . .  55,  3             71 

action  to  recover  for 54,  2             71 

cost,  rate  fixed  by  the  Commission 85             85 

gifts  to  hospital  for 7,  2             45 

other  than  poor  or  indigent 88             90 

89  90 

poor  and  indigent 85             84 

L.  1898 125 

property  for 64             75 

relatives  liable  for 86             85 

L.  1898 125 

Supreme  court  justices,  apprehension  and   confinement  of 

dangerous  insane,  precept  for 88             90 

care  and  treatment  of  insane,  approval  of  order  concerning,  92             91 

commitment  of  insane,  order  of,  made  by.. 80             78 

review  of  proceedings,  order  of 83             82 

stay  of  proceedings,  order  for 83             83 

visitors  to  State  hospitals,  appointment  of 61             74 

Syracuse.    See  Genesee  Sanitarium 32 

TEMPORARY  custody    of    personal    property    of    insane 

patients 100             95 

Temporary  employees 118           101 

Temporary  provision  for  insane 91             91 

Terms  of  service,  how  computed •. •  114             99 

Training  schools,  graduates  of 175 

Training  schools  for  attendants  and  nurses 45,  7             60 

Transfer  of  employees 176 

Transfer  of  insane- 
application  for •             185 

clothing  to  be  provided  for 183 

costs ,                                    85             84 

86  86 

from  home  to  State  hospital. 82             82 

by  trained  attendants 87             88 

from  one  State  hospital  to  another 46             61 

of  non-resident  patients 96             94 

overcrowded  hospitals 91             91 

prisoners  in  State  prisons,  etc.,  to  Dannemora  hospital,  158           112 

to  Matteawan  hospital 138           106 

record  of 15,    4             48 

rules  to  be  observed  by  superintendent 183 

to  be  accompanied  by  attendants 184 


INDEX  279 

SEC.       PAGE 
Treasurer  of  State  hospitals — 

Commission  may  designate  person  to  act  as 44  51 

matters  to  be  submitted  to 178 

name 4 

superintendent  to  act  as 52  69 

bond 44  58 

powers  and  duties  of  superintendent  as 52  69 

receipts  and  expenditures,  monthly  statement 53  70 

recover  money  due  hospital 54  71 

Troy.    See  Marshall  Sanitarium 35 

UNIFORMS,  prescribed  for  nurses  and  other  employees 193 

United  State  Public  Health  Service  Hospital,  Dansville,  No.  28  38 
Utica  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 230 

contracts  for  new  buildings  at  Marcy  site 134 

directory 23 

VACATIONS  and  absence  from  duty  of  employees 174 

Vaccination  of  patients  and  employees 188 

Visitation  and  inspection  of  institutions,  by  Commission. . .              "6  44 

8  45 
92  92 

managers 43,  2  56 

medical  inspector 4  43 

private  institution s 8  45 

9  46 

Visitors  to  State  hospitals 61  74 

Vital  statistics — 

registrar  of 137 

registration  district  for,  L.  1917 137 

Voluntary  patients,  in  licensed  institutions- 
admission 99 

in  State  hospitals 99 

Vouchers,  State  hospitals 53 

steward 52,  5 

to  be  sent  to  treasurer 

WAGES  of  mechanics  in  State  institutions,  L.  1913 

Commission  to  fix 49 

increase  of 

prescribed 50 

schedule 50 

Waldemere,  Mamaroneck 

Ward  service,  State  hospitals,  classification  and  wages 50 

Ward's  Island. 

See  also  Manhattan  State  Hospital 

Psychiatric  Institute f 


28o  INDEX 

SEC.        PAGE 

West  Hill, 39 

White  Plains.     See  Bloomingdale  Hospital 29 

Whitestone.    See  Breezehurst  Terrace 30 

Willard  State  Hospital- 
appropriations  in  annual  appropriation  bill,  L.  1920 231 

directory 24 

Witnesses,  examination  of,  in  investigations 92             92 

before  board  of  managers 43,  7             57 

fees  of  medical  witnesses 84             83 

Women,  on  board  of  managers  of  State  hospitals 41             55 

nurses  or  attendants,  wages 50             65 

patients  to  have  women  attendants 87            88 

physicians 45,  2             59 

qualifications 45,  2             59 

reside  in  hospital 45,  2             59 

salaries  of 171 

YEAR,  fiscal 11             47 

Yonkers,  see  Bond,  Dr.,  House  of 30 


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